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1881832657
PROVISIONS PERSONAL CARE SERVICES LLC
BATON ROUGE, LA
NPI
1881832657
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Entity Type
Organization
Authorized Contact
NELLIE ANN WEBSTER
Director
225-272-4146
Organization Subpart ?
No
Primary Taxonomy
302F00000X Exclusive Provider Organization
Enumeration Date
2009-02-01
Last Update Date
2009-02-02
Business Address
PROVISIONS PERSONAL CARE SERVICES LLC
15254 OLD HAMMOND HWY SUITE A-3
BATON ROUGE, LA 70816-1275
Phone number: 225-272-4146
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Mailing Address
PROVISIONS PERSONAL CARE SERVICES LLC
15254 OLD HAMMOND HWY SUITE A-3
BATON ROUGE, LA 70816-1275
Phone number: 225-272-4146
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