CCN: 191592 NPI: 1275632762 Organization

Southern Grace Hospice

13702 COURSEY BLVD STE 6A
BATON ROUGE, LA 708171370

Contact Information

Phone 2259261404
Fax 2259261403
Enumeration Date 2006-09-21
Last Updated 2020-07-24

Taxonomies

Code: 315D00000X (Primary) License State: LA License: 149

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 7

cbsaActualGeographicLocation 29180

providerType 35

censusDivision 7

cbsaActualGeographicLocation 12940

providerType 35

censusDivision 7

cbsaActualGeographicLocation 12940

providerType 35

censusDivision 7

cbsaActualGeographicLocation 12940

providerType 35

censusDivision 7

cbsaActualGeographicLocation 12940

providerType 35

censusDivision 7

cbsaActualGeographicLocation 12940

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 29180

providerType 35

specialPaymentIndicator

carrierCode 07202

localityCode 99