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1942672738
PROVISION PERSONAL CARE SERVICE
BATON ROUGE, LA
NPI
1942672738
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Entity Type
Organization
Authorized Contact
NELLIE ANN WEBSTER
Director
225-751-1513
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: LA 15525)
Enumeration Date
2015-10-20
Last Update Date
2015-10-20
Business Address
PROVISION PERSONAL CARE SERVICE
3975 ONEAL LN STE A
BATON ROUGE, LA 70816-9092
Phone number: 225-751-1514
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Mailing Address
PROVISION PERSONAL CARE SERVICE
3975 ONEAL LN STE A
BATON ROUGE, LA 70816-9092
Phone number:
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