Organization
ALLCARE OF LOUISIANA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANARA POUNCY (ADMINISTRATOR)
(318) 670-7461
Entity
Organization
Contact information
Practice address
4615 MONKHOUSE DR STE 116, SHREVEPORT, LA 71109-6123
(318) 670-7461
Mailing address
4615 MONKHOUSE DR STE 116, SHREVEPORT, LA 71109-6123
(318) 670-7461
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BH0012322
BHS LICENSE #
LA
Enumeration date
01/02/2018
Last updated
02/22/2018
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