Organization
ENTRUM CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIE FULLER CMA, MA, MBA (ADMINISTRATOR)
(318) 949-1828
Entity
Organization
Contact information
Practice address
6235 HIGHWAY 157, HAUGHTON, LA 71037-7647
(318) 949-1828
(318) 949-1825
Mailing address
6235 HIGHWAY 157, PO BOX 1265, HAUGHTON, LA 71037-7647
(318) 949-1828
(318) 949-1825
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1621447
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1621447
—
LA
05
—
1624811
—
LA
05
—
1625493
—
LA
05
—
1809080
—
LA
05
—
2134574
—
LA
Enumeration date
05/11/2006
Last updated
02/09/2011
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