Organization
HEALTHCARE FOR KIDS LA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY PENNELL (AUTHORIZED OFFICIAL)
(239) 403-0402
Entity
Organization
Contact information
Practice address
8894 AIRLINE HWY, BATON ROUGE, LA 70815-4081
(239) 403-0402
Mailing address
576 COLONIAL PARK DR STE 120, ROSWELL, GA 30075-3794
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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