Provider Demographics
NPI:1689370124
Name:THE PALLIATIVE CARE FOUNDATION OF BATON ROUGE
Entity Type:Organization
Organization Name:THE PALLIATIVE CARE FOUNDATION OF BATON ROUGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUARISCO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:225-291-4700
Mailing Address - Street 1:9191 BLUEBONNET BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70810-2810
Mailing Address - Country:US
Mailing Address - Phone:225-291-4700
Mailing Address - Fax:225-291-4242
Practice Address - Street 1:9191 BLUEBONNET BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70810-2810
Practice Address - Country:US
Practice Address - Phone:225-291-4700
Practice Address - Fax:225-291-4242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-06
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based