Organization
LIFEPATH HOSPICE CARE SERVICES, LLC
Active
Other names
LifePath Hospice Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RANDY BELTON (AUTHORIZED REPRESENTATIVE)
(601) 709-1408
Entity
Organization
Contact information
Practice address
1500 N MARKET ST, SUITE B 108, SHREVEPORT, LA 71107-6537
(318) 222-5711
(318) 222-5715
Mailing address
1500 N MARKET ST, SUITE B 108, SHREVEPORT, LA 71107-6537
(318) 222-5711
(318) 222-5715
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
125
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1580775
—
LA
Enumeration date
05/02/2006
Last updated
08/22/2020
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