Organization
ARK-LA-TEX HOME HEALTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JODI PENNINGTON (VP OF OPERATIONS)
(615) 453-1029
Entity
Organization
Contact information
Practice address
7591 FERN AVE, STE 1503, SHREVEPORT, LA 71105-5748
(318) 747-6180
(318) 746-2771
Mailing address
7591 FERN AVE, STE 1503, SHREVEPORT, LA 71105-5748
(318) 747-6180
(318) 746-2771
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
311
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4501550
—
LA
Enumeration date
08/16/2005
Last updated
02/18/2016
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