Organization
BEACON FOR LIFE, ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT L TORRY III J.D. (OWNER)
(225) 246-8867
Entity
Organization
Contact information
Practice address
5500 FLORIDA BLVD, SUITE 103B, BATON ROUGE, LA 70806-4133
(225) 246-8867
(225) 218-0074
Mailing address
5500 FLORIDA BLVD, SUITE 103B, BATON ROUGE, LA 70806-4133
(225) 246-8867
(225) 218-0074
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PCA15065
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PCA15065
—
LA
Enumeration date
07/06/2008
Last updated
07/06/2008
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