Organization
TOTAL CARE OPTIONS AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHY DENISE POWELL LPN (ASSISTANT DIRECTOR)
(225) 272-0100
Entity
Organization
Contact information
Practice address
12131 FLORIDA BLVD, SUITE D, BATON ROUGE, LA 70815-2708
(225) 272-0100
(225) 272-0800
Mailing address
12131 FLORIDA BLVD, SUITE D, BATON ROUGE, LA 70815-2708
(225) 272-0100
(225) 272-0800
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
PCA 14009
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020061
—
LA
Enumeration date
09/04/2007
Last updated
02/25/2008
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