NPI 1225519192

Healthy Schools Louisiana LLC

Organisation General Practice Physician Shreveport, LA

Practice location

Address: 1801 Fairfield Ave STE 101, Shreveport, LA 71101-4457
Phone: (571) 289-1765
Mailing address: 3546 Saint Johns Bluff Rd S Unit 113, Jacksonville, FL 32224-2714

Authorised official

Name: Donald Boselli
Title: President
Phone: (904) 379-5997

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Louisiana →

Registry record

NPI: 1225519192
Entity type: Organization
NPI issued: 28 Aug 2018
Record last updated: 28 Aug 2018

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.