Organization · NPI-2

Allstar Community Care, LLC

Community/Behavioral Health · Baton Rouge, LA

NPI number1194122077
StatusActive
Last updated in NPPESNov 20, 2014

Details

NPI
1194122077
Entity type
Organization (NPI-2)
Legal business name
Allstar Community Care, LLC
Organization subpart
No
Enumeration date
Nov 20, 2014
Last updated
Nov 20, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health–LAYes

Practice location

223 Fernwood Dr
Suite A
Baton Rouge, LA 70806-3130

Phone 225-241-2528 · Fax 225-923-3735

Mailing address

223 Fernwood Dr
Suite A
Baton Rouge, LA 70806-3130

Phone 225-241-2528 · Fax 225-923-3735

Authorized official

Natasha James
Owner
2252412528

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