Organization
OBVAMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES A ROSS LMSW (SOCIAL WORKER)
(318) 938-1019
Entity
Organization
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
(318) 990-5599
Mailing address
8036 PARKER PL, SHREVEPORT, LA 71129-9706
(318) 938-1019
(318) 990-5599
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
286500000XL
LA
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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