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PROSPERITY HEALTH CARE SERVICES

Adult Care Home

Baton Rouge, Louisiana

Provider NPI: 1467598268

Organization Information:
Organization Name:  PROSPERITY HEALTH CARE SERVICES


Practice Location:
11628 S CHOCTAW DR SUITE 227 BATON ROUGE, LA 70815 US
Tel: 227-275-5999  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
LASIL7099
X3747P1801XNursing Service Related Providers
Technician
LAPCA6968

Other Provider Identifiers:

IssuerNumberStateType
1584827LA05
1584894LA05
1456462LA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS LA - Page 1



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