# GOD'S GIFT PROFESSIONAL CARE SERVICE

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

## Provider details

- **NPI number:** 1285854976
- **Authorized official:** MRS. SCHAWANDA A. COLEMAN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (318) 629-5391

## Contact information

- **Practice address:** 2620 CENTENARY BLVD, BLDG 1 SUITE 104, SHREVEPORT, LA 71104-3356
- **Practice address phone:** (318) 629-5391
- **Practice address fax:** (318) 629-5392
- **Mailing address:** 2620 CENTENARY BLVD, BLDG 1 SUITE 104, SHREVEPORT, LA 71104-3356
- **Mailing address phone:** (318) 629-5391
- **Mailing address fax:** (318) 629-5392

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | SIL 10506 | LA | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 08/22/2020