Organization
VONNIEAB'S RESPITE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EARL JOHNSON JR. MPA (DIRECTOR)
(225) 381-8090
Entity
Organization
Contact information
Practice address
3535 GOVERNMENT ST, BATON ROUGE, LA 70806-5719
(225) 346-4040
(225) 381-8094
Mailing address
731 SAINT LOUIS ST, BATON ROUGE, LA 70802-6455
(225) 381-8090
(225) 381-8094
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
RC 6959
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1429929
—
LA
Enumeration date
06/09/2008
Last updated
06/09/2008
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