| Organization Name: | NORTHEAST LOUISIANA HEALTH SOLUTIONS, INC |
| NPI Number: | 1821333030 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL S DAVIDSON (OWNER) |
| Mailing Address: | 1812 Glenmar Ave Suite B Monroe |
| State: | LA US |
| Postal Code: | 712014932 |
| Phone Number: | 3183291101 |
| Fax Number: | 3183291107 |
| NPI Enumeration Date: | 11/29/2012 |
| NPI Last Update Date: | 10/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 2203782471 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |