IBL SPECIAL CARE MANAGEMENT SERVICES

BATON ROUGE, LA
NPI1225275712
Entity TypeOrganization
Authorized ContactSAMANTHA ANN ROACH
Administrator
225-291-3123
Organization Subpart ?No
Primary Taxonomy302F00000X Exclusive Provider Organization
(Licence: LA  PCA 15172)
Enumeration Date2009-01-21
Last Update Date2009-03-02
Business Address
IBL SPECIAL CARE MANAGEMENT SERVICES
11616 SOUTHFORK AVE STE 204
BATON ROUGE, LA 70816-5241
Phone number: 225-291-3123
Mailing Address
IBL SPECIAL CARE MANAGEMENT SERVICES
14241 COURSEY BLVD STE A12167
BATON ROUGE, LA 70817-1368
Phone number: 225-291-3123
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