Organization
SPEECH THERAPY UNLIMITED HALLELUJAH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA KING M.S., CCC-SLP (OWNER/CEO)
(318) 670-9710
Entity
Organization
Contact information
Practice address
4646 HILRY HUCKABY DR, SHREVEPORT, LA 71107-5707
(318) 670-9710
(318) 227-9142
Mailing address
5609 CROSS TIMBERS DR, SHREVEPORT, LA 71129-3605
(318) 670-9710
(318) 227-9142
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1580
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1472565
—
LA
Enumeration date
08/09/2012
Last updated
08/09/2012
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