Most Relevant Information
Provider Data
| NPI Number: | 1003495383 |
| Provider Name: | DARRIUS RAY SIMON |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/05/2021 |
| Last Updated: | 04/05/2021 |
Provider Practice Location
3040 TEDDY DR
BATON ROUGE
LA
708091925
Practice Location Phone/Fax
| Phone: | 2252184444 |
| Fax: | 2254483000 |
Provider Mailing Location
3040 TEDDY DR
BATON ROUGE
LA
708091925
Provider Mailing Phone/Fax
| Phone: | 2252184444 |
| Fax: | 2254483000 |