Organization
MORNING STAR MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES SLACK (OWNER)
(318) 347-6402
Entity
Organization
Contact information
Practice address
456 W 61ST ST, SHREVEPORT, LA 71106-2511
(318) 347-6402
Mailing address
456 W 61ST ST, SHREVEPORT, LA 71106-2511
(318) 347-6402
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/06/2020
Last updated
08/17/2020
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