<Unavail>

LBN: Life Source Services, Llc
<Unavail> is an health care organization with primary practice located at 3049 S Sherwood Forest Blvd Suite 100, Baton Rouge LA 70816-2277. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Life Source Services, Llc can be contacted via phone (225) 291-9421, or through Belton, Randy via phone (601) 709-1408.

Contact Information

Primary practice address
3049 S Sherwood Forest Blvd Suite 100 Baton Rouge LA 70816-2277
Phone: (225) 291-9421
Fax: (225) 291-9743
Website:
Map and Directions
Authorized official contact:
Name: Belton, Randy
Phone: (601) 709-1408

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 148 Louisiana

Profile Details

NPI number 1356309199
LBN Legal business name Life Source Services, Llc
DBA Doing business as <Unavail>
Authorized official Belton, Randy
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2006
Last updated Aug 7th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356309199 NPPES
Louisiana MEDICAID 1581071

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