Organization
WILMER ADMINISTRATIVE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARD WILMER MS (PRESIDENT)
(318) 425-3557
Entity
Organization
Contact information
Practice address
3326 WESTHEIMER ST, SHREVEPORT, LA 71103-2061
(318) 425-3557
(318) 222-9194
Mailing address
3326 WESTHEIMER ST, SHREVEPORT, LA 71103-2061
(318) 425-3557
(318) 222-9194
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
00250649
LA
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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