Organization
PREMIER HOSPICE OF MONROE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES GOODWIN GLADNEY JR. (MANAGING PARTNER)
(318) 281-0000
Entity
Organization
Contact information
Practice address
1651 LOUISVILLE AVE STE 128, MONROE, LA 71201-6027
(318) 388-0555
(318) 388-0510
Mailing address
1523 TEXAS AVE, BASTROP, LA 71220-4043
(318) 281-0000
(318) 281-2753
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
LA
Other
Enumeration date
07/31/2007
Last updated
02/20/2008
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