Organization
YOUREE ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID T. HENRY M.D. (DELEGATED OFFICIAL)
(318) 629-1588
Entity
Organization
Contact information
Practice address
5506 CAMELOT DR, SHREVEPORT, LA 71107-9558
(318) 629-1588
(318) 629-1589
Mailing address
5506 CAMELOT DR, SHREVEPORT, LA 71107-9558
(318) 629-1588
(318) 629-1589
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
L010682
LA
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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