| Organization Name: | GUILLORYS SHOP |
| NPI Number: | 1225280928 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELLIS GUILLORYS (CEO) |
| Mailing Address: | 137 W Main Ville Platte |
| State: | LA US |
| Postal Code: | 70586 |
| Phone Number: | 3372075393 |
| Fax Number: | |
| NPI Enumeration Date: | 10/14/2008 |
| NPI Last Update Date: | 10/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |