Organization
SHOULDERS OF STRENGTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOINETTE CLARK (OWNER)
(318) 235-4878
Entity
Organization
Contact information
Practice address
2800 YOUREE DR, SUITE 350, SHREVEPORT, LA 71104-3661
(318) 323-9995
(318) 325-8943
Mailing address
2900 CAMERON ST, MONROE, LA 71201-3714
(318) 323-9995
(318) 325-8943
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
CM2701600000
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1925004
—
LA
Enumeration date
05/18/2011
Last updated
08/31/2016
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