Organization
COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION
Active
Other names
CASSE - Shreveport Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY M CHUMLEY RN (CEO)
(318) 688-3350
Entity
Organization
Contact information
Practice address
2120 BERT KOUNS INDUSTRIAL LOOP STE K-L, SHREVEPORT, LA 71118-3351
(318) 688-3350
Mailing address
2120 BERT KOUNS INDUSTRIAL LOOP STE H, SHREVEPORT, LA 71118-3354
(318) 688-3350
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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