Provider Demographics
NPI:1275674889
Name:VOLUNTEERS OF AMERICA OF GREATER BATON ROUGE
Entity Type:Organization
Organization Name:VOLUNTEERS OF AMERICA OF GREATER BATON ROUGE
Other - Org Name:BR CASE MGMT
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:F
Authorized Official - Last Name:SHANK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-387-0061
Mailing Address - Street 1:3949 NORTH BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-3827
Mailing Address - Country:US
Mailing Address - Phone:225-387-0061
Mailing Address - Fax:228-381-7963
Practice Address - Street 1:3949 NORTH BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-3827
Practice Address - Country:US
Practice Address - Phone:225-387-0061
Practice Address - Fax:228-381-7963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1548031Medicaid