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Organization
DAYSTAR HEALTH SERVICES
Active
Organization
DAYSTAR HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANIELLE MARIE WILLIAMS (CHIEF EXECUTIVE OFFICER)
(318) 221-0212
Entity
Organization
Contact information
Practice address
1545 LINE AVE, SUITE 209, SHREVEPORT, LA 71101-4600
(318) 221-0210
(318) 221-0210
Mailing address
1545 LINE AVE, SUITE 209, SHREVEPORT, LA 71101-4600
(318) 221-0210
(318) 221-0210
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
PCA115173
LA
253Z00000X
In Home Supportive Care Agency
Primary
PCA115173
LA
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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