Organization
HOSPICE TLC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA F COOK RN (OWNER)
(318) 435-9111
Entity
Organization
Contact information
Practice address
2401 LOOP RD, WINNSBORO, LA 71295-3403
(318) 435-9111
Mailing address
PO BOX 1547, WINNSBORO, LA 71295-1547
(318) 435-9111
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
177
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1584177
—
LA
01
—
31197
BCBS OF LA PROVIDER NUMBE
LA
Enumeration date
01/22/2007
Last updated
11/05/2007
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