Organization
BOUNTIFUL BLESSINGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA A. WHITE (ADMINISTRATOR)
(225) 927-9330
Entity
Organization
Contact information
Practice address
2156 WOODDALE BLVD, STE140A, BATON ROUGE, LA 70806-1403
(225) 927-9330
(225) 927-9331
Mailing address
2156 WOODDALE BLVD, STE140A, BATON ROUGE, LA 70806-1403
(225) 927-9330
(225) 927-9331
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
PCA 15175
LA
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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