NPI 1154508364

Delta Medical Services

Organisation PACE Provider Organization Shreveport, LA

Practice location

Address: 1800 Buckner St Suite B210, Shreveport, LA 71101-4440
Phone: (318) 459-1600

Authorised official

Name: Doris Mitchell
Title: President/Ceo
Phone: (318) 459-1600

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X Licence 11385 (LA)

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in Louisiana →

Registry record

NPI: 1154508364
Entity type: Organization
NPI issued: 30 Jan 2008
Record last updated: 30 Jan 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.