| Organization Name: | BAYOU STATE GROUP INC |
| NPI Number: | 1174626279 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VICKIE VAUGHN (OFFICE MANAGER) |
| Mailing Address: | 1021 E Laurel Street Eunice |
| State: | LA US |
| Postal Code: | 70535 |
| Phone Number: | 3375460101 |
| Fax Number: | 3375460071 |
| NPI Enumeration Date: | 09/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251N0400X |
| License Number: | 021809 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Neurology |
| Taxonomy Definition: | |