Organization
PUSH CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN JENKINS (CEO)
(252) 326-1113
Entity
Organization
Contact information
Practice address
4859 SHED RD, SUITE 200, BOSSIER CITY, LA 71111-5492
(318) 588-5008
(318) 588-5008
Mailing address
4859 SHED RD, SUITE 200, BOSSIER CITY, LA 71111-5492
(318) 588-5008
(318) 588-5008
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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