| Organization Name: | GAMBLE HOSPICE CARE OF CENLA, LLC |
| NPI Number: | 1184709321 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARYANN STEWART (COO) |
| Mailing Address: | 8520 Business Park Dr Shreveport |
| State: | LA US |
| Postal Code: | 711055654 |
| Phone Number: | 3188612150 |
| Fax Number: | 3182121871 |
| NPI Enumeration Date: | 10/26/2006 |
| NPI Last Update Date: | 08/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 130 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |