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Organization

POOLE HOME & RETREAT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAMBRICAL K GRIFFIN (EXECUTIVE DIRECTOR)
(318) 750-6549
Entity
Organization

Contact information

Practice address
167 POOLE RD, MANSFIELD, LA 71052-5007
(318) 750-6549
Mailing address
1100 TRINITY WAY APT B13, RUSTON, LA 71270-7313
(318) 750-6549

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
07/03/2025
Last updated
11/16/2025
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