# CG CONCIERGE & IN HOME PERSONAL CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CG Concierge & In Home Personal Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376710392
- **Authorized official:** MR. CLYDE L GOSEY JR. (OWNER/ OPERATOR)
- **Authorized official phone:** (832) 382-5711

## Contact information

- **Practice address:** 718 W 71ST ST, SHREVEPORT, LA 71106-3502
- **Practice address phone:** (832) 382-5711
- **Practice address fax:** (318) 688-6276
- **Mailing address:** PO BOX 65131, SHREVEPORT, LA 71136-5131
- **Mailing address phone:** (832) 382-5711
- **Mailing address fax:** (318) 688-6276

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/08/2008
- **Last updated:** 05/08/2008