Organization
OAK SHADOWS OF JENNINGS, LLC
Active
Organization
OAK SHADOWS OF JENNINGS, LLC
Active
Other names
Louisiana Hospice and Palliative Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD D. STELLY (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
1322 ELTON RD, SUITE G, JENNINGS, LA 70546-4100
(337) 616-3482
(337) 616-9399
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
139
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1580961
—
LA
01
—
190031148Z
BLUE CROSS BLUE SHIELD OF
LA
Enumeration date
08/03/2006
Last updated
04/26/2017
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