Organization
GAMBLE HOSPICE CARE NORTHWEST, LLC
Active
Organization
GAMBLE HOSPICE CARE NORTHWEST, LLC
Active
Other names
Aime Hospice Care
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BEAL (CHIEF EXECUTIVE OFFICER)
(214) 252-7600
Entity
Organization
Contact information
Practice address
8950 E KINGS HWY, SHREVEPORT, LA 71115
(318) 861-2150
(318) 861-2157
Mailing address
600 N PEARL ST STE 1050, DALLAS, TX 75201-7495
(214) 252-7600
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
2203781702
LA
315D00000X
Inpatient Hospice
150
LA
315D00000X
Inpatient Hospice
2203781702-I
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1581089
—
LA
Enumeration date
06/09/2006
Last updated
03/03/2020
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