| Doctor Name: | CAVINA ROSHAYE DREW |
| NPI Number: | 1205158243 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 801 Shreveport Rd Minden, LA - 710553829 |
| Business Phone Number: | 3186552110 |
| Business Fax Number: | 3183770809 |
| Mailing Address: | 1589 Stuckey Rd, DUBBERLY |
| State: | LA |
| Postal Code: | 71024 |
| Phone Number: | 3186552110 |
| Fax Number: | 3183770809 |
| NPI Enumeration Date: | 02/18/2010 |
| NPI Last Update Date: | 02/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |