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Individual Provider (NPI-1) Active

Home Health Aide

Provider Information

NPI Number
1780345819
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
8501 MILLICENT WAY APT 1035, SHREVEPORT, LA, 711152230
Phone
(903) 331-4853

Specialties & Taxonomies

Home Health Aide Primary

All Addresses

MAILING

8501 MILLICENT WAY APT 1035

SHREVEPORT, LA, 711152230

LOCATION

8501 MILLICENT WAY APT 1035

SHREVEPORT, LA, 711152230

(903) 331-4853