# BREEDLOVE WOUND CARE OF LOUISIANA LLC

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

## Provider details

- **NPI number:** 1730984097
- **Authorized official:** ELIZABETH ANN BREEDLOVE (OWNER)
- **Authorized official phone:** (903) 947-2020

## Contact information

- **Practice address:** 201 GRAY ST, BELCHER, LA 71004-7729
- **Practice address phone:** (903) 947-2020
- **Mailing address:** PO BOX 1129, TATUM, TX 75691-1129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/19/2025
- **Last updated:** 02/19/2025