Organization
HEALTH SOURCE ONE PRIVATE DUTY & STAFFING
Active
Organization
HEALTH SOURCE ONE PRIVATE DUTY & STAFFING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VANESSA J. SALEEM (DIRECTOR OF PRIVATE DUTY)
(225) 293-7590
Entity
Organization
Contact information
Practice address
11715 BRICKSOME AVE, SUITE A-3, BATON ROUGE, LA 70816-2307
(225) 293-7590
(225) 293-7592
Mailing address
11715 BRICKSOME AVE, SUITE A-3, BATON ROUGE, LA 70816-2307
(225) 293-7590
(225) 293-7592
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
LA 6897
LA
Other
Enumeration date
02/28/2008
Last updated
11/05/2008
Update your record
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