Organization
WHISPERING OAKS LODGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARREN DAVIS R. PH. (CEO)
(318) 366-8596
Entity
Organization
Contact information
Practice address
910 PIERREMONT RD STE 103, SHREVEPORT, LA 71106-2058
(877) 419-3005
(877) 419-0358
Mailing address
617 PIAT RD, YOUNGSVILLE, LA 70592-6438
(318) 366-8596
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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