Organization
DISTINCTIVE HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEKARI WASHINGTON DAVIS (OWNER)
(225) 291-4988
Entity
Organization
Contact information
Practice address
11762 S HARRELLS FERRY RD STE C, BATON ROUGE, LA 70816-2398
(225) 291-4988
(225) 291-4986
Mailing address
11762 S HARRELLS FERRY RD STE C, BATON ROUGE, LA 70816-2398
(225) 291-4988
(225) 291-4986
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
PCA15216
LA
Other
Enumeration date
05/21/2009
Last updated
05/21/2009
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