# HS LOUISIANA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003269762
- **Authorized official:** DON ANTHONY BOSELLI JR. (PRESIDENT)
- **Authorized official phone:** (904) 834-2679

## Contact information

- **Practice address:** 1501 KINGS HWY, SUITE 5-303, SHREVEPORT, LA 71103-4228
- **Practice address phone:** (904) 834-2679
- **Practice address fax:** (904) 395-3249
- **Mailing address:** 3546 SAINT JOHNS BLUFF RD S, SUITE 113, JACKSONVILLE, FL 32224-2713
- **Mailing address phone:** (904) 834-2679
- **Mailing address fax:** (904) 395-3249

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/18/2016
- **Last updated:** 07/18/2016