Provider Demographics
NPI:1508342239
Name:AUDUBON PALLIATIVE CARE SERVICES INC
Entity Type:Organization
Organization Name:AUDUBON PALLIATIVE CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:TROXCLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-218-8009
Mailing Address - Street 1:9181 INTERLINE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-1900
Mailing Address - Country:US
Mailing Address - Phone:225-218-8009
Mailing Address - Fax:
Practice Address - Street 1:9181 INTERLINE AVE STE 220
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-1900
Practice Address - Country:US
Practice Address - Phone:225-218-8009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-16
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care