Provider Demographics
NPI:1821252396
Name:GENTLE CARE SERVICES, INC.
Entity Type:Organization
Organization Name:GENTLE CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:WRIGHT
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-939-8928
Mailing Address - Street 1:8255 FLORIDA BLVD
Mailing Address - Street 2:203
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-4849
Mailing Address - Country:US
Mailing Address - Phone:225-939-8928
Mailing Address - Fax:225-448-3367
Practice Address - Street 1:8255 FLORIDA BLVD
Practice Address - Street 2:203
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-4849
Practice Address - Country:US
Practice Address - Phone:225-939-8928
Practice Address - Fax:225-448-3367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-14
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency