Provider Demographics
NPI:1679762421
Name:THE CARING CLINIC OF LOUISIANA, LLC
Entity type:Organization
Organization Name:THE CARING CLINIC OF LOUISIANA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:J
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-341-5901
Mailing Address - Street 1:4550 NORTH BLVD
Mailing Address - Street 2:SUITE 115
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-4013
Mailing Address - Country:US
Mailing Address - Phone:225-341-5901
Mailing Address - Fax:225-341-5903
Practice Address - Street 1:4550 NORTH BLVD
Practice Address - Street 2:SUITE 115
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-4013
Practice Address - Country:US
Practice Address - Phone:225-341-5901
Practice Address - Fax:225-341-5903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-17
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty