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Organization

HE RESTORED US, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIENESHA RACHELL BROWN (C.E.O.)
(225) 615-8035
Entity
Organization

Contact information

Practice address
4336 NORTH BLVD STE 102, BATON ROUGE, LA 70806-3920
(225) 615-8035
(225) 636-2501
Mailing address
4336 NORTH BLVD SUITE 102, BATON ROUGE, LA 70806-1432
(225) 615-8035
(225) 636-2501

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
7238
LA

Other

Enumeration date
06/13/2007
Last updated
02/03/2009
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