Organization
ASSURANCE CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REPUNDA M. BALL (ADMINISTRATOR)
(318) 631-7583
Entity
Organization
Contact information
Practice address
4908 MONKHOUSE DR, SHREVEPORT, LA 71109-6114
(318) 631-7583
(318) 635-8514
Mailing address
4908 MONKHOUSE DR, SHREVEPORT, LA 71109-6114
(318) 631-7583
(318) 631-7583
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1178969
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1178969
—
LA
Enumeration date
12/28/2007
Last updated
05/20/2013
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