Provider Demographics
NPI:1558520684
Name:M & B PERSONAL CARE SERVICES
Entity Type:Organization
Organization Name:M & B PERSONAL CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:M WEATHERSPOON
Authorized Official - Last Name:POPULARAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-252-4582
Mailing Address - Street 1:4415 ADAMS AVE
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70802-1406
Mailing Address - Country:US
Mailing Address - Phone:225-252-4582
Mailing Address - Fax:225-677-9552
Practice Address - Street 1:4415 ADAMS AVE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70802-1406
Practice Address - Country:US
Practice Address - Phone:225-252-4582
Practice Address - Fax:225-677-9552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-04
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based