Organization
BEACON FOR LIFE ASSISTS LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA BROWN (OWNER)
(225) 246-8667
Entity
Organization
Contact information
Practice address
5500 FLORIDA BLVD, SUTIE 103B, BATON ROUGE, LA 70806-4133
(225) 246-8667
Mailing address
5500 FLORIDA BLVD, SUTIE 103B, BATON ROUGE, LA 70806-4133
(225) 246-8667
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
15065
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1143855
—
LA
Enumeration date
05/08/2009
Last updated
05/08/2009
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