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Organization

MISSION IMPROVE CARE ADDICTION HOUSING INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FLORINE KESSEE SAMUELS (ADMINISTRATOR)
(318) 938-5679
Entity
Organization

Contact information

Practice address
10086 PINE ORCHARD RD, SHREVEPORT, LA 71129-8784
(318) 938-5679
(318) 938-5679
Mailing address
10086 PINE ORCHARD RD, SHREVEPORT, LA 71129-8784
(318) 938-5679
(318) 938-5679

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1257
LA

Other

Enumeration date
10/05/2015
Last updated
06/20/2018
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