Organization
WEST CARROLL HOME CARE
Active
Other names
At Home Services of West Carroll Health Systems
Organization subpart
No
Provider details
NPI number
Authorized official
DEWANA LITTLE (ADMINISTRATOR)
(318) 428-3237
Entity
Organization
Contact information
Practice address
706 ROSS ST, OAK GROVE, LA 71263-9798
(318) 428-3237
(318) 428-9681
Mailing address
706 ROSS ST, OAK GROVE, LA 71263-9798
(318) 428-3237
(318) 428-9681
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
PCA11701
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1527718
—
LA
Enumeration date
05/28/2008
Last updated
07/02/2008
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