NPI 1104940576

The Arc of Caddo Bossier

Organisation Health Maintenance Organization Shreveport, LA

Practice location

Address: 351 Jordan St, Shreveport, LA 71101-4846
Phone: (318) 425-8978
Fax: (318) 221-4262

Authorised official

Name: Chris L Horne
Title: Financial Director
Phone: (318) 425-8978

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 2279 (LA)

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Registry record

NPI: 1104940576
Entity type: Organization
NPI issued: 19 Mar 2007
Record last updated: 22 Aug 2020

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.