# KIDCARE LOUISIANA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KIDCARE JONESVILLE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073903910
- **Authorized official:** CINDI LOFTON (OFFICE MANAGER)
- **Authorized official phone:** (318) 339-9901

## Contact information

- **Practice address:** 2801 FOURTH ST STE 2, JONESVILLE, LA 71343
- **Practice address phone:** (318) 339-9901
- **Practice address fax:** (318) 339-9903
- **Mailing address:** 2801 FOURTH ST STE 2, JONESVILLE, LA 71343-2027
- **Mailing address phone:** (318) 339-9901
- **Mailing address fax:** (318) 339-9903

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 2203783351 | LA | Yes |
| 363LF0000X | Family Nurse Practitioner | AP04515 | LA | — |

## Other

- **Enumeration date:** 01/30/2015
- **Last updated:** 05/16/2018