Organization
COUNCIL FOR THE ADVANCEMENT OF SOCIAL SERVIES AND EDUCATION
Active
Other names
COMMUNITY HEALTH INSTITUTE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY SAYLES (OPERATIONS MANAGER)
(318) 688-3350
Entity
Organization
Contact information
Practice address
907 POLK ST, MANSFIELD, LA 71052-2520
(318) 872-1015
(318) 872-1055
Mailing address
2120 BERT KOUNS LOOP, SUITE E, SHREVEPORT, LA 71118-3351
(318) 688-3350
(318) 688-3655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1310018
—
LA
Enumeration date
12/18/2008
Last updated
12/18/2008
Update your record
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