Organization
SPECIAL CARE SERVICES OF LOUISIANA, INC
Active
Other names
Precision Caregivers
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE LAMB ROACH MBA (PRESIDENT)
(225) 278-8375
Entity
Organization
Contact information
Practice address
2380 ONEAL LN, STE I, BATON ROUGE, LA 70816-9315
(225) 756-4494
(225) 756-4495
Mailing address
2142 ONEAL LN, STE. 307, BATON ROUGE, LA 70816-3205
(225) 756-4494
(225) 756-4495
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
PCA 15301
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PCA 15301
—
LA
Enumeration date
09/22/2009
Last updated
09/22/2009
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