Organization
DEPENDABLE CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY WILLIAMS (CEO)
(318) 632-5008
Entity
Organization
Contact information
Practice address
2118 HOLLYWOOD AVE, SHREVEPORT, LA 71108-3922
(318) 632-5008
(318) 632-5099
Mailing address
2118 HOLLYWOOD AVE, SHREVEPORT, LA 71108-3922
(318) 632-5008
(318) 632-5099
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
00213180
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1884308
—
LA
05
—
1971839
—
LA
05
—
2324039
—
LA
Enumeration date
07/03/2008
Last updated
05/14/2013
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