OrganizationActive
Provisions Care and Residential Services, LLC
NPI 1699109983 · Mental Illness Community Based Residential Treatment Facility · Baker, LA
Provider details
- NPI number
- 1699109983
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Charlette Minor, Owner/Administrator(225) 775-8188
Specialties & taxonomies
Residential Treatment Facilities
Practice location
7125 Villere Dr
Baker, LA 70714-5347
Phone: (225) 775-8188
Fax: (225) 775-8189
Approximate (ZIP-level) locationGet directions
Mailing address
7125 Villere Dr
Baker, LA 70714-5347
Registry dates
- Enumerated
- 2013-08-22
- Last updated
- 2013-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.