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CANON HOSPICE LLC

Hospice, Inpatient

Baton Rouge, Louisiana

Provider NPI: 1275632762

Organization Information:
Organization Name:  CANON HOSPICE LLC


Practice Location:
13702 COURSEY BLVD STE 6A  BATON ROUGE, LA 70817 US
Tel: 225-926-1404  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315D00000XNursing & Custodial Care Facilities
Hospice, Inpatient
LA149

Other Provider Identifiers:

IssuerNumberStateType
1501054LA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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