Organization
HOSPICE OF SHREVEPORT, INC.
Active
Other names
Hospice of Shreveport/Bossier
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARTHA C. MCDURMOND CHA, NFA (ADMINISTRATOR)
(318) 865-7177
Entity
Organization
Contact information
Practice address
3829 GILBERT, MADISON PARK, SHREVEPORT, LA 71104-5005
(318) 865-7177
(318) 865-4077
Mailing address
3829 GILBERT DR, MADISON PARK BUSINESS CENTER, SHREVEPORT, LA 71104-5005
(318) 865-7177
(318) 865-4077
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
263
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1580201
—
LA
Enumeration date
07/01/2005
Last updated
04/13/2010
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