Organization
HEAVENLY TOUCH PERSONAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NYQUILA MONEA KILGORE (OWNER)
(318) 344-1417
Entity
Organization
Contact information
Practice address
235 OLIVE ST, SHREVEPORT, LA 71104-2415
(318) 344-1417
Mailing address
235 OLIVE ST, SHREVEPORT, LA 71104-2415
(318) 344-1417
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
LA
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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