Organization
WEST CARROLL HOME CARE LLC
Active
Other names
At Home Services of West Carroll Health Systems
Organization subpart
No
Provider details
NPI number
Authorized official
DEWANA LITTLE (ADMINISTRATOR)
(318) 428-6240
Entity
Organization
Contact information
Practice address
708 E MAIN ST, OAK GROVE, LA 71263-2500
(318) 428-6240
(318) 428-6180
Mailing address
706 ROSS ST, OAK GROVE, LA 71263-9798
(318) 428-6240
(318) 428-6180
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
PCA11701
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473014
—
LA
Enumeration date
01/05/2006
Last updated
05/23/2008
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