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Organization
HOLLYWOOD HEALTH SERVICE
Active
Organization
HOLLYWOOD HEALTH SERVICE
Active
Other names
HHS Medical Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY RENE THOMAS (OPERATIONAL DIRECTOR)
(318) 402-9069
Entity
Organization
Contact information
Practice address
2835 HOLLYWOOD AVE, SHREVEPORT, LA 71108-3864
(318) 402-9069
(318) 861-5069
Mailing address
2835 HOLLYWOOD AVE, SHREVEPORT, LA 71108-3864
(318) 402-9069
(318) 861-5069
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332U00000X
Home Delivered Meals
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
07/06/2017
Last updated
01/29/2020
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