Organization
HE RESTORED US, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIENESHA BROWN (OWNER)
(225) 615-8035
Entity
Organization
Contact information
Practice address
624 CONNELLS PARK LN, STE A, BATON ROUGE, LA 70806-6534
(225) 615-8035
Mailing address
624 CONNELLS PARK LN, STE A, BATON ROUGE, LA 70806-6534
(225) 615-8035
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
15382
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008460
—
LA
05
—
1008478
—
LA
05
—
1107956
—
LA
Enumeration date
04/15/2011
Last updated
04/15/2011
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