Organization Name: | REGIONAL HOSPICE CARE GROUP OF NW LOUISIANA, LLC |
NPI Number: | 1114200870 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TONI CAMP (ADMINISTRATOR) |
Mailing Address: | 8660 Fern Ave Suite 145 Shreveport |
State: | LA US |
Postal Code: | 711055649 |
Phone Number: | 3185241046 |
Fax Number: | 3185242166 |
NPI Enumeration Date: | 09/20/2011 |
NPI Last Update Date: | 12/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |