Organization
PREMIER HOSPICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES G. GLADNEY JR. (MANAGING PARTNER)
(318) 281-0078
Entity
Organization
Contact information
Practice address
1513 TEXAS AVE, BASTROP, LA 71220-4043
(318) 556-1999
(318) 556-1997
Mailing address
1523 TEXAS AVE, BASTROP, LA 71220-4043
(318) 281-0078
(318) 281-2753
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1584151
—
LA
Enumeration date
07/07/2006
Last updated
02/07/2013
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