Organization
COMPANION HOME SERVICES, LLC
Active
Other names
SUPRA Home Care of Shreveport
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY BUTLER (PRESIDENT)
(504) 837-5557
Entity
Organization
Contact information
Practice address
668 JORDAN, SUITE B, SHREVEPORT, LA 71101-4760
(225) 368-3181
(225) 757-1104
Mailing address
10615 JEFFERSON HWY, BATON ROUGE, LA 70809-7230
(225) 368-3181
(225) 757-1104
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
15368
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2129813
—
LA
Enumeration date
11/28/2012
Last updated
10/11/2013
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