Organization
DIVINE HEALTH CARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA DICKERSON (OWNER)
(318) 869-1330
Entity
Organization
Contact information
Practice address
2940 YOUREE DR, STEA, SHREVEPORT, LA 71104-3657
(318) 869-1330
(318) 869-2720
Mailing address
2940 YOUREE DR, STEA, SHREVEPORT, LA 71104-3657
(318) 869-1330
(318) 869-2720
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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