Organization
DOVE OUTREACH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE BOOKER OWNER (OWNER/DIRECTOR)
(225) 326-1772
Entity
Organization
Contact information
Practice address
9445 SYBLE DR, BATON ROUGE, LA 70814-4053
(225) 246-8824
(225) 246-8299
Mailing address
PO BOX 45371, BATON ROUGE, LA 70895-4371
(225) 246-8824
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
14577
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3104A0625X
—
LA
Enumeration date
03/16/2010
Last updated
03/22/2010
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