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19D2063762 CLIA NUMBER - BEHAVIORAL WELLNESS CENTER

Laboratory Demographics

CLIA Number: 19D2063762

Facility Name: BEHAVIORAL WELLNESS CENTER

Facility Address:
4045 NORTH BLVD
BATON ROUGE, LA
ZIP 70806
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Facility Phone Number: 225 387-7652

Facility Type: Other - BEHAVIOR WELLN IOP & PHP

Certificate Type: Waiver
NPI Number: 1790315158

Taxonomy: 253Z00000X - In Home Supportive Care
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

CLIA Record

Field Name Field Value
CLIA Number 19D2063762
LAB Type Other - BEHAVIOR WELLN IOP & PHP
Facility Name BEHAVIORAL WELLNESS CENTER
Street 4045 NORTH BLVD
City BATON ROUGE
State LA
ZIP 70806
Phone 225 387-7652
CertificateType 4
CertificateEffectiveDate 8/8/2023
CertificateExpirationDate 8/7/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024