Organization Name: | THE ARC OF CADDO BOSSIER |
NPI Number: | 1811011281 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRIS L HORNE (FINANCIAL DIRECTOR) |
Mailing Address: | 351 Jordan St Shreveport |
State: | LA US |
Postal Code: | 711014846 |
Phone Number: | 3184258978 |
Fax Number: | 3182214262 |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | 2252 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |