Organization
AN ENDLESS LOVE HOME CARE, LLC
Active
Other names
Northwest LA INCS, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EUNICE WILKERSON (DIRECTOR)
(318) 636-0390
Entity
Organization
Contact information
Practice address
6003 FINANCIAL PLZ, SHREVEPORT, LA 71129-2670
(318) 636-0390
(318) 635-3298
Mailing address
6259 TINKER STREET, SHREVEPORT, LA 71109
(318) 636-0390
(318) 635-3298
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
305S00000X
Point of Service
Primary
11761
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1172260
—
LA
Enumeration date
03/05/2007
Last updated
09/21/2023
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