NPI 1003139619

VA Diabetic Foot Source LLC

Organisation Nursing Care Agency Shreveport, LA

Practice location

Address: 9414 Ashmont St, Shreveport, LA 71129-4830
Phone: (318) 560-2700

Authorised official

Name: Victor V Manning
Title: Owner
Phone: (318) 560-2700

Registered specialties

Nursing Care Agency Primary

Agencies Taxonomy 251J00000X Licence RN121799 (LA)

Other Nursing Care providers in Louisiana →

Registry record

NPI: 1003139619
Entity type: Organization
NPI issued: 10 Mar 2010
Record last updated: 10 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.