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Organization
DESTINED FOR OPTIONS - SHREVEPORT
Active
Organization
DESTINED FOR OPTIONS - SHREVEPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRE' JON BRILEY MHS (OWNER)
(504) 309-0259
Entity
Organization
Contact information
Practice address
610 MARSHALL ST STE 521, SHREVEPORT, LA 71101-3650
(504) 715-1182
(504) 309-2702
Mailing address
610 MARSHALL ST STE 521, SHREVEPORT, LA 71101-3650
(504) 715-1182
(504) 309-2702
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
07/24/2025
Last updated
08/24/2026
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