Organization
CARE SERVICES OF NORTHWEST LOUISIANA, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CYNTHIA WATSON (OWNER/ADMINISTRATOR)
(318) 742-8380
Entity
Organization
Contact information
Practice address
9310 NORMANDIE DRIVE, SHREVEPORT, LA 71118
(318) 742-8380
(318) 741-3645
Mailing address
9310 NORMANDIE DRIVE, SHREVEPORT, LA 71118
(318) 426-0203
(318) 741-3645
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
2203782182
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1337765
—
LA
Enumeration date
11/17/2015
Last updated
11/17/2015
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