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Organization
GONGS LLC
Active
Organization
GONGS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORBERT MWABONJE GONGOLO (MANAGER)
(737) 328-0295
Entity
Organization
Contact information
Practice address
871 ABITA CHASE, BOSSIER CITY, LA 71111-6435
(737) 328-0295
Mailing address
871 ABITA CHASE, BOSSIER CITY, LA 71111-6435
(737) 328-0295
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
—
—
172A00000X
Driver
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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