Organization
RENAISSANCE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES A JOUBERT JR. (MEMBER/MANAGER)
(225) 387-5585
Entity
Organization
Contact information
Practice address
3321 YOUREE DR, SUITE 100, SHREVEPORT, LA 71105-2123
(318) 868-6033
(318) 868-6011
Mailing address
251 FLORIDA ST, SUITE 201, BATON ROUGE, LA 70801-1703
(225) 387-5585
(225) 387-5584
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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