NPI 1134386659

Booker T. Community Outreach, INC

Organisation Home Health Agency Monroe, LA

Practice location

Address: 1103 Sherrouse St, Monroe, LA 71203-5233
Phone: (318) 325-6777
Fax: (318) 325-6773
Mailing address: 1411 Sherrouse St, Monroe, LA 71203-5435

Authorised official

Name: Esther Louise Gallow
Title: President
Phone: (318) 325-6777

Registered specialties

Home Health Agency Primary

Agencies Taxonomy 251E00000X Licence 11565 (LA)

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Registry record

NPI: 1134386659
Entity type: Organization
NPI issued: 21 May 2008
Record last updated: 21 May 2008

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.