Organization
CADDO COUNCIL ON AGING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ALICE ROUNTREE (EXECUTIVE DIRECTOR)
(318) 676-7900
Entity
Organization
Contact information
Practice address
1700 BUCKNER ST, SUITE 240, SHREVEPORT, LA 71101-4452
(318) 676-7900
(318) 676-7911
Mailing address
1700 BUCKNER ST, SUITE 240, SHREVEPORT, LA 71101-4452
(318) 676-7900
(318) 676-7911
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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