Organization
PRIME STAR HOSPICE NWLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY A CASTLEMAN RN-HCS-C (ADMINISTRATOR)
(318) 259-1410
Entity
Organization
Contact information
Practice address
2434 MANNINGS ST STE 2, RINGGOLD, LA 71068-2401
(318) 259-1410
Mailing address
1527 DOCTORS DR, BOSSIER CITY, LA 71111-3694
(318) 259-1410
(318) 532-6088
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
07/16/2020
Last updated
09/28/2020
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