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Contact Information

SUPERIOR BROCAGE HOLDINGS LLC
7843 BAJA DR
BATON ROUGE, LA70811-7735
 Phone: 225-328-9051
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Environmental Modification

225XE0001X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for SUPERIOR BROCAGE HOLDINGS LLC

NPI Number 1821416256
LBN Legal business name SUPERIOR BROCAGE HOLDINGS LLC
Authorized official JERQUAN BROWN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/02/2014
Last updated 04/02/2014 - About 12 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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