Organization
CHERISHED MOMENTS HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEKEIDRA PRATT RN (OWNER/ADMINISTRATOR)
(318) 572-1403
Entity
Organization
Contact information
Practice address
2917 HOYTE DR, SHREVEPORT, LA 71118-2405
(318) 572-1403
Mailing address
2917 HOYTE DR, SHREVEPORT, LA 71118-2405
(318) 572-1403
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN139447
LA
163WH0200X
Home Health Registered Nurse
RN139447
LA
Other
Enumeration date
07/07/2018
Last updated
07/07/2018
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