Organization
ST. JOHN ARC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH J BABIN (EXECUTIVE DIRECTOR)
(985) 652-5706
Entity
Organization
Contact information
Practice address
101 BAMBOO RD, LA PLACE, LA 70068-6457
(985) 652-5706
(985) 652-2536
Mailing address
101 BAMBOO RD, LA PLACE, LA 70068-6457
(985) 652-5706
(985) 652-2536
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PCA 4824
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1172031
—
LA
Enumeration date
04/24/2007
Last updated
08/22/2020
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