NPI 1225079643

Gamble Hospice Care Northwest, LLC

Organisation Community Based Hospice Care Agency Shreveport, LA

Practice location

Address: 8950 E Kings Hwy, Shreveport, LA 71115
Phone: (318) 861-2150
Fax: (318) 861-2157
Mailing address: 600 N Pearl St STE 1050, Dallas, TX 75201-7495

Authorised official

Name: Michael Beal
Title: Chief Executive Officer
Phone: (214) 252-7600

Registered specialties (3)

Community Based Hospice Care Agency Primary

Agencies Taxonomy 251G00000X Licence 2203781702 (LA)

Other Hospice Care, Community Based providers in Louisiana →

Inpatient Hospice

Nursing & Custodial Care Facilities Taxonomy 315D00000X Licence 150 (LA)

Other Hospice, Inpatient providers in Louisiana →

Inpatient Hospice

Nursing & Custodial Care Facilities Taxonomy 315D00000X Licence 2203781702-I (LA)

Registry record

NPI: 1225079643
Entity type: Organization
NPI issued: 9 Jun 2006
Record last updated: 3 Mar 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.