PROVISIONS CARE AND RESIDENTIAL SERVICES, LLC

BAKER, LA
NPI1699109983
Entity TypeOrganization
Authorized ContactCHARLETTE MARIE MINOR
Owner/Administrator
225-775-8188
Organization Subpart ?No
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date2013-08-22
Last Update Date2013-08-22
Business Address
PROVISIONS CARE AND RESIDENTIAL SERVICES, LLC
7125 VILLERE DR
BAKER, LA 70714-5347
Phone number: 225-775-8188
Mailing Address
PROVISIONS CARE AND RESIDENTIAL SERVICES, LLC
7125 VILLERE DR
BAKER, LA 70714-5347
Phone number: 225-775-8188