# POOLE HOME & RETREAT

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

## Provider details

- **NPI number:** 1073403846
- **Authorized official:** SHAMBRICAL K GRIFFIN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (318) 750-6549

## Contact information

- **Practice address:** 167 POOLE RD, MANSFIELD, LA 71052-5007
- **Practice address phone:** (318) 750-6549
- **Mailing address:** 1100 TRINITY WAY APT B13, RUSTON, LA 71270-7313
- **Mailing address phone:** (318) 750-6549

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/03/2025
- **Last updated:** 11/16/2025