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Organization
COMPANION HOME SERVICES, LLC
Active
Organization
COMPANION HOME SERVICES, LLC
Active
Other names
SUPRA Home Care of Shreveport
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY BUTLER (PRESIDENT)
(504) 837-5557
Entity
Organization
Contact information
Practice address
668 JORDAN, SUITE B, SHREVEPORT, LA 71101-4760
(225) 368-3181
(225) 757-1104
Mailing address
10615 JEFFERSON HWY, BATON ROUGE, LA 70809-7230
(225) 368-3181
(225) 757-1104
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
15368
LA
Other
Enumeration date
11/28/2012
Last updated
10/11/2013
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