Provider First Line Business Practice Location Address:
153 NORTH 17TH STREET
Provider Second Line Business Practice Location Address:
START COMMUNITY HEALTH CENTER
Provider Business Practice Location Address City Name:
BATON ROUGE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70802-7080
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
225-235-7734
Provider Business Practice Location Address Fax Number:
225-408-1310
Provider Enumeration Date:
10/07/2021