Organization
MAGNOLIA RESPITE CARE INC.
Active
Other names
MAGNOLIA RESPITE CARE INC.
Organization subpart
No
Provider details
NPI number
Authorized official
ETHEL COMEAUX DIRECTOR (DIRECTOR)
(225) 928-5080
Entity
Organization
Contact information
Practice address
8924 FLORIDA BLVD, BATON ROUGE, LA 70815-4026
(225) 928-5080
(225) 928-5040
Mailing address
8924 FLORIDA BLVD, BATON ROUGE, LA 70815-4026
(225) 928-5080
(225) 928-5040
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1741230
—
LA
Enumeration date
02/26/2007
Last updated
05/16/2008
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