Organization
DREAM PROVIDER CARE SERVICES OF LOUISIANA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTAL ADAMS (COO)
(225) 751-2409
Entity
Organization
Contact information
Practice address
5215 ESSEN LN STE 5, BATON ROUGE, LA 70809-3563
(225) 751-2409
Mailing address
5215 ESSEN LN STE 5, BATON ROUGE, LA 70809-3563
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
2203782109
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036277
—
LA
Enumeration date
08/24/2015
Last updated
08/24/2015
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