OrganizationActive
Ibl Special Care Management Services
NPI 1306083894 · Exclusive Provider Organization · Baton Rouge, LA
Provider details
- NPI number
- 1306083894
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Samantha Roach, Administrator(225) 291-3123
- License
- PCA 15172 (LA)
Specialties & taxonomies
Managed Care Organizations
Practice location
11616 Southfork Ave
Ste 204
Baton Rouge, LA 70816-5241
Phone: (225) 291-3123
Fax: (225) 291-3069
Approximate (ZIP-level) locationGet directions
Mailing address
14241 Coursey Blvd
Baton Rouge, LA 70817-1368
Registry dates
- Enumerated
- 2009-01-21
- Last updated
- 2009-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.