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Organization
EDWARDS' PERSONAL CARE ATTENDANT SERVICES, L.L.C.
Active
Organization
EDWARDS' PERSONAL CARE ATTENDANT SERVICES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IDA WILSON EDWARDS R.N. (DIRECTOR)
(318) 671-1693
Entity
Organization
Contact information
Practice address
7505 PINES RD, SUITE 1185, SHREVEPORT, LA 71129-3935
(318) 688-1418
(318) 688-1419
Mailing address
7505 PINES RD, SUITE 1185, SHREVEPORT, LA 71129-3935
(318) 688-1418
(318) 688-1419
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PCA 14066
LA
Other
Enumeration date
12/10/2007
Last updated
12/11/2007
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