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1St Calebs Sil & Pca Restoration Inc

Organization Active NPI Community Based Hospice Care Agency · Baton Rouge, LA

NPI 1790969764 · NPPES record last updated Dec 26, 2007

Key facts

NPI
1790969764
Entity type
Organization (NPI type 2)
Primary specialty
Community Based Hospice Care Agency 251G00000X
Legal business name
1ST CALEBS SIL & PCA RESTORATION INC
Practice address
5700 Florida Blvd Ste 707
Baton Rouge, LA 70806-4280
Phone
(225) 923-2828
Fax
(225) 923-2829
NPI assigned
Dec 26, 2007
Organization subpart
Yes
Parent organization (as reported)
1ST CALEBS SIL & PCA RESTORATION INC

Authorized official

Name
Mr. Taree Tremaine Brown
Title
President
Phone
(225) 923-2828

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
1St Calebs Sil Pca Restoration Inc (4 organizations share this tax ID)
Part of
1St Calebs Sil Pca Restoration Inc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Yes

Addresses

Primary practice location

5700 Florida Blvd Ste 707
Baton Rouge, LA 70806-4280

Mailing address

5700 Florida Blvd Ste 707
Baton Rouge, LA 70806-4280
Phone (225) 923-2828

Other identifiers

IdentifierTypeStateIssuer
1509361MedicaidLA

Other providers in Baton Rouge, LA

All providers in Baton Rouge, LA · Community Based Hospice Care Agency in Louisiana

Sources for this page

Verify at the official NPI Registry.