Organization
COMPANION CARE OF SWLA
Active
Other names
Companion Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA A WALLACE (ADMINISTRATOR)
(337) 463-3550
Entity
Organization
Contact information
Practice address
410 BON AMI ST, DERIDDER, LA 70634-4830
(337) 463-3550
(337) 463-8012
Mailing address
410 BON AMI ST, DERIDDER, LA 70634-4830
(337) 463-3550
(337) 463-8012
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
LA
Other
Enumeration date
07/02/2008
Last updated
07/21/2022
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