Organization
BROOKYS HAVEN
Active
Other names
Brookys Haven
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE WILLIAMS (OWNER)
(318) 423-1367
Entity
Organization
Contact information
Practice address
217 JONES ST APT 215, SHREVEPORT, LA 71101-4060
(131) 842-3136
Mailing address
217 JONES ST APT 215, SHREVEPORT, LA 71101-4060
(131) 842-3136
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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