Organization
HOSPITAL SERVICE DISTRICT 1 OF EAST BATON ROUGE PARISH
Active
Other names
Lane Regional Medical Center- Home Health, LANE REGIONAL MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
PHIL HACKER (PFS DIRECTOR)
(225) 658-4505
Entity
Organization
Contact information
Practice address
6300 MAIN STREET, ZACHARY, LA 70791-4099
(225) 658-4300
Mailing address
6300 MAIN STREET, ZACHARY, LA 70791-4099
(225) 658-4300
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1401498
—
LA
01
—
33644
BLUE CROSS HOME HEALTH
LA
Enumeration date
08/14/2006
Last updated
01/26/2020
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