Organization Name: | CIRCLE OF LIFE HOSPICE, INC. |
NPI Number: | 1689771552 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMY LASTER DOWE (OWNER/PRESIDENT) |
Mailing Address: | 920 E 70th St Suite B Shreveport |
State: | LA US |
Postal Code: | 711063400 |
Phone Number: | 3188694012 |
Fax Number: | 3188694024 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 01/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 36269864D |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |