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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