Organization
SOUTHLAND HOME HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD A CANDLER (CEO)
(318) 683-1190
Entity
Organization
Contact information
Practice address
9301 WALLACE LAKE RD, SHREVEPORT, LA 71106-7318
(318) 683-1190
(318) 683-1191
Mailing address
9301 WALLACE LAKE RD, SHREVEPORT, LA 71106-7318
(318) 683-1190
(318) 683-1191
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
251E00000X
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1405019
—
LA
Enumeration date
06/09/2005
Last updated
01/12/2012
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