Organization
NORTHEAST LOUISIANA HEALTH SOLUTIONS, INC
Active
Other names
Americare
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL S DAVIDSON (OWNER)
(318) 329-1101
Entity
Organization
Contact information
Practice address
1812 GLENMAR AVE, SUITE B, MONROE, LA 71201-4932
(318) 329-1101
(318) 329-1107
Mailing address
1812 GLENMAR AVE, SUITE B, MONROE, LA 71201-4932
(318) 329-1101
(318) 329-1107
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
15073
LA
253Z00000X
In Home Supportive Care Agency
2203782471
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083877237
—
LA
05
—
1316103062
—
LA
05
—
1699931345
—
LA
Enumeration date
11/29/2012
Last updated
10/14/2015
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