| NPI | 1356309199 |
|---|---|
| Doing Business As | LIFE SOURCE SERVICES BATON ROUGE |
| Entity Type | Organization |
| Authorized Contact | RANDY BELTON Authorized Representative 601-709-1408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: LA 148) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2007-08-07 |