Individual
CARLA DANIELLE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
8313 PICARDY AVE, BATON ROUGE, LA 70809-3689
(225) 906-4097
Mailing address
10707 INDUSTRIPLEX BLVD APT 1, BATON ROUGE, LA 70809-3923
(832) 207-3990
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
138729
LA
314000000X
Skilled Nursing Facility
Primary
138729
LA
Other
Enumeration date
06/06/2021
Last updated
06/06/2021
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