Provider Demographics
NPI:1336516293
Name:CARTER'S REFERRAL SERVICE, LLC
Entity Type:Organization
Organization Name:CARTER'S REFERRAL SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-328-8051
Mailing Address - Street 1:7332 TOWN SOUTH AVE
Mailing Address - Street 2:APT 1
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-4144
Mailing Address - Country:US
Mailing Address - Phone:225-328-8051
Mailing Address - Fax:
Practice Address - Street 1:7332 TOWN SOUTH AVE
Practice Address - Street 2:APT 1
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4144
Practice Address - Country:US
Practice Address - Phone:225-328-8051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-26
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care