| Organization Name: | ST. JOSEPH HOSPICE OF SHREVEPORT, L.L.C. |
| NPI Number: | 1508819251 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICK MITCHELL (MANAGING MEMBER) |
| Mailing Address: | 668 Jordan St. Shreveport |
| State: | LA US |
| Postal Code: | 71101 |
| Phone Number: | 3182228723 |
| Fax Number: | 3182228732 |
| NPI Enumeration Date: | 05/17/2006 |
| NPI Last Update Date: | 04/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 129 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |