Organization
KILLCREASE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY COWAN-KILLCREASE (MANAGING MEMBER)
(318) 608-8088
Entity
Organization
Contact information
Practice address
11239 HIGHWAY 143, FARMERVILLE, LA 71241-5535
(318) 608-8088
Mailing address
PO BOX 243, FARMERVILLE, LA 71241-0243
(318) 608-8088
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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