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Organization

BODY & SOUL SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DERENDA FLOWERS (VICE-PRESIDENT)
(318) 376-1113
Entity
Organization

Contact information

Practice address
5743 MER ROUGE RD, BASTROP, LA 71220-9765
(318) 283-3299
(318) 283-3298
Mailing address
5743 MER ROUGE RD, BASTROP, LA 71220-9765
(318) 283-3299
(318) 283-3298

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1004375
LA
05
1004391
LA
05
1004405
LA
Enumeration date
07/18/2008
Last updated
06/27/2024
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