Organization
CANON HOSPICE LLC
Active
Organization
CANON HOSPICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIVA K AKULA MD (OWNER)
(504) 818-2723
Entity
Organization
Contact information
Practice address
13702 COURSEY BLVD STE 6A, BATON ROUGE, LA 70817-1370
(225) 926-1404
(225) 926-1403
Mailing address
13702 COURSEY BLVD STE 6A, BATON ROUGE, LA 70817-1370
(225) 926-1404
(225) 926-1403
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
149
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1501054
—
LA
Enumeration date
09/21/2006
Last updated
07/24/2020
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