BAKER WELLNESS CENTER ADHC
Custodial Care Facility
Baker, Louisiana
Provider NPI: 1114010667
Organization Information:Organization Name: BAKER WELLNESS CENTER ADHC
Practice Location:
2402 MAIN STREET BAKER, LA 70714 US
Tel: 225-778-1567 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2402 MAIN STREET BAKER, LA 70714 US
Tel: 225-778-1567 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311Z00000X | Nursing & Custodial Care Facilities Custodial Care Facility | LA | 2020 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1643360 | LA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin