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Organization

SECOND CHANCE RECOVERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CYNTHIA HOLLINS (OWNER/DIRECTOR)
(318) 741-6954
Entity
Organization

Contact information

Practice address
3816 LINWOOD, SHREVEPORT, LA 71103
(318) 741-6954
(318) 741-6954
Mailing address
3816 LINWOOD AVE, SHREVEPORT, LA 71103
(318) 741-6954
(318) 741-6954

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
07/31/2009
Last updated
07/31/2009
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