# KILLCREASE HOME CARE

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

## Provider details

- **NPI number:** 1790175578
- **Authorized official:** MISTY COWAN-KILLCREASE (MANAGING MEMBER)
- **Authorized official phone:** (318) 608-8088

## Contact information

- **Practice address:** 11239 HIGHWAY 143, FARMERVILLE, LA 71241-5535
- **Practice address phone:** (318) 608-8088
- **Mailing address:** PO BOX 243, FARMERVILLE, LA 71241-0243
- **Mailing address phone:** (318) 608-8088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/30/2015
- **Last updated:** 01/30/2015