Organization Name: | ASSURANCE HOSPICE OF NORTHWEST LOUISIANA |
NPI Number: | 1083989651 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEREMY SCOTT CAUDILL (CEO) |
Mailing Address: | 3503 Kresswick St Bossier City |
State: | LA US |
Postal Code: | 711123708 |
Phone Number: | 3184231826 |
Fax Number: | |
NPI Enumeration Date: | 03/15/2012 |
NPI Last Update Date: | 03/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |