Organization
NEW ANGELIC FRIENDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM J SCOTT (ADMINISTRATOR)
(225) 927-1607
Entity
Organization
Contact information
Practice address
9410 LINDALE AVE, SUITE C, BATON ROUGE, LA 70815-4160
(225) 927-1607
(225) 927-1608
Mailing address
9410 LINDALE AVE, SUITE C, BATON ROUGE, LA 70815-4160
(225) 927-1607
(225) 927-1608
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
15438
LA
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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