Provider Demographics
NPI:1609044155
Name:BLACKWELL SOLUTIONS PCA, LLC
Entity Type:Organization
Organization Name:BLACKWELL SOLUTIONS PCA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BEATRICE
Authorized Official - Middle Name:M
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-767-3099
Mailing Address - Street 1:8841 BLUEBONNET BLVD.
Mailing Address - Street 2:E
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810
Mailing Address - Country:US
Mailing Address - Phone:225-767-3099
Mailing Address - Fax:225-767-3299
Practice Address - Street 1:8841 BLUEBONNET BLVD.
Practice Address - Street 2:E
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810
Practice Address - Country:US
Practice Address - Phone:225-767-3099
Practice Address - Fax:225-767-3299
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BLACKWELL SOLUTIONS PCA, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty