Organization
PRIMARY CARE AT HOME OF LOUISIANA III, LLC
Active
Other names
Primary Care at Home of Baton Rouge
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD D. STELLY (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
2645 ONEAL LN STE C, BATON ROUGE, LA 70816-3179
(225) 326-4637
(225) 641-8917
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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