Organization
PROVISION PERSONAL CARE SERVICE
Active
Organization
PROVISION PERSONAL CARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELLIE ANN WEBSTER (DIRECTOR)
(225) 751-1513
Entity
Organization
Contact information
Practice address
3975 ONEAL LN STE A, BATON ROUGE, LA 70816-9092
(225) 751-1514
Mailing address
3975 ONEAL LN STE A, BATON ROUGE, LA 70816-9092
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
15525
LA
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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