Organization
CADDO PARISH FIRE DISTRICT #5
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRAYSON S BOUCHER (FIRE CHIEF)
(318) 797-4111
Entity
Organization
Contact information
Practice address
1675 LEONARD RD, SHREVEPORT, LA 71115-8583
(318) 797-4111
Mailing address
PO BOX 52985, SHREVEPORT, LA 71135-2985
(318) 797-4111
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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