Provider Demographics
NPI:1891940599
Name:THE NATURAL HEALTH CLINIC AND SPA
Entity Type:Organization
Organization Name:THE NATURAL HEALTH CLINIC AND SPA
Other - Org Name:FLORIDA BAKER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FLORIDA
Authorized Official - Middle Name:LEA
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:PERSONAL CARE SER
Authorized Official - Phone:225-926-1990
Mailing Address - Street 1:10632 STANLEY AUBIN LN APT A
Mailing Address - Street 2:11924 COURSEY BLVD SUITE # B
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-2048
Mailing Address - Country:US
Mailing Address - Phone:225-295-3377
Mailing Address - Fax:
Practice Address - Street 1:10632 STANLEY AUBIN LN APT A
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-2048
Practice Address - Country:US
Practice Address - Phone:225-295-3377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-21
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization