Organization
PROVISIONS PERSONAL CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS NELLIE ANN WEBSTER (DIRECTOR)
(225) 272-4146
Entity
Organization
Contact information
Practice address
15254 OLD HAMMOND HWY, SUITE A-3, BATON ROUGE, LA 70816-1275
(225) 272-4146
(225) 272-4147
Mailing address
15254 OLD HAMMOND HWY, SUITE A-3, BATON ROUGE, LA 70816-1275
(225) 272-4146
(225) 272-4147
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC0007626
—
LA
Enumeration date
02/01/2009
Last updated
02/02/2009
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