Organization
SUPERIOR BROCAGE HOLDINGS LLC
Active
Other names
supeerior brocage home contractor
Organization subpart
No
Provider details
NPI number
Authorized official
JERQUAN BROWN (OWNER)
(225) 328-9051
Entity
Organization
Contact information
Practice address
7843 BAJA DR, BATON ROUGE, LA 70811-7735
(225) 328-9051
Mailing address
7843 BAJA DR, BATON ROUGE, LA 70811-7735
(225) 328-9051
Taxonomy
Speciality
Code
Description
License number
State
225XE0001X
Environmental Modification Occupational Therapist
Primary
—
—
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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