Organization
FLORA KAYYS HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALIAH SHILEEN COOK RN (ADMINISTRATOR)
(318) 286-2043
Entity
Organization
Contact information
Practice address
610 MARSHALL ST STE 701, SHREVEPORT, LA 71101-3660
(318) 286-2043
Mailing address
308 W JOSIE LN, HAUGHTON, LA 71037-3700
(318) 286-2043
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/27/2025
Last updated
06/02/2025
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