Whalio Doctors

NPI 1437321395

Lighthouse Ministries Provdier Care Service, INC,

Organisation Nursing Care Agency Shreveport, LA

Practice location

Address
7505 Pines Rd Suite #1170, Shreveport, LA 71129-3935
Phone
(318) 688-4260
Fax
(318) 688-4261

Authorised official

Name
Karen Watkins Beaner
Title
Program Director
Phone
(318) 688-4260

Registered specialties

Nursing Care Agency Primary
Agencies Taxonomy 251J00000X Licence 46701 (LA)

Registry record

NPI
1437321395
Entity type
Organization
NPI issued
31 Mar 2008
Record last updated
31 Mar 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.