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Upgrade Group Home LLC — NPI 1306481445, Baton Rouge, LA | NPI Central

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NPI 1306481445

OrganizationActive

Upgrade Group Home LLC

NPI 1306481445 · Emotionally Disturbed Childrens' Residential Treatment Facility · Baton Rouge, LA

Provider details

NPI number: 1306481445
Entity type: Organization
Primary specialty: Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
Organization subpart: No
Authorized official: Carl Williams, Dr of Theology(225) 394-9271

Specialties & taxonomies

Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000X
Residential Treatment Facilities

Practice location

3719 Katherine Ave

3719 Katherine Ave

Baton Rouge, LA 70805

Phone: (225) 394-9271

Approximate (ZIP-level) locationGet directions

More LA providers

Mailing address

3719 Katherine Ave

Baton Rouge, LA 70805

Other names (DBA / former)

Former legal business name: Upgrade Group Home LLC
Former legal business name: Upgrade Group Home, LLC

Registry dates

Enumerated: 2019-11-13
Last updated: 2019-11-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.