Provider Demographics
NPI:1205031564
Name:B & L PERSONAL CARE SERVICES
Entity Type:Organization
Organization Name:B & L PERSONAL CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:
Authorized Official - Last Name:DEAMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-928-2977
Mailing Address - Street 1:4226 RALEIGH DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70814-7243
Mailing Address - Country:US
Mailing Address - Phone:225-315-3558
Mailing Address - Fax:225-928-6970
Practice Address - Street 1:1986 DALLAS DR
Practice Address - Street 2:SUITE 6
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-1400
Practice Address - Country:US
Practice Address - Phone:225-928-2977
Practice Address - Fax:225-928-6970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-18
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1623458Medicaid
LA1721344Medicaid
LA1721336Medicaid