# A MOMENT IN TIME PATIENT CARE SERVICES. LLC

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

## Provider details

- **NPI number:** 1902280506
- **Authorized official:** MRS. CATHERINE MILLER RT (MR) ARRT (OWNER)
- **Authorized official phone:** (318) 773-8643

## Contact information

- **Practice address:** 3085 KEITHVILLE KINGSTON RD, KEITHVILLE, LA 71047-8360
- **Practice address phone:** (318) 773-8643
- **Practice address fax:** (318) 925-3373
- **Mailing address:** 9435 MANSFIELD RD, SUITE 3B, SHREVEPORT, LA 71118-3859
- **Mailing address phone:** (318) 773-8643
- **Mailing address fax:** (318) 925-3373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 10616713\#3CF52 | LA | Yes |

## Other

- **Enumeration date:** 07/13/2015
- **Last updated:** 09/10/2015