NPI 1740713700

Helping the Sick N Shut in of Noth La

Organisation Physical Disabilities Residential Treatment Facility Shreveport, LA

Practice location

Address: 5342 Broadway Ave, Shreveport, LA 71109-7210
Phone: (318) 946-2487
Mailing address: 5342 Broadway Ave, Shreveport, LA 71109

Authorised official

Name: Lakeishia Kawon Johnson
Title: Home Health
Phone: (318) 946-2487

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 3747P180X (LA)

Other Residential Treatment Facility, Physical Disabilities providers in Louisiana →

Registry record

NPI: 1740713700
Entity type: Organization
NPI issued: 6 Apr 2017
Record last updated: 6 Apr 2017

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.