Organization
GOD'S GIFT PROFESSIONAL CARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SCHAWANDA A COLEMAN (EXECUTIVE DIRECTOR)
(318) 629-5391
Entity
Organization
Contact information
Practice address
2620 CENTENARY BLVD, BLDG 1 SUITE 104, SHREVEPORT, LA 71104-3356
(318) 629-5391
(318) 629-5392
Mailing address
2620 CENTENARY BLVD, BLDG 1 SUITE 104, SHREVEPORT, LA 71104-3356
(318) 629-5391
(318) 629-5392
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PCA 10503
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1466859
—
LA
Enumeration date
04/26/2007
Last updated
08/22/2020
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