Organization
PRIME STAR HOSPICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY CASTLEMAN RN-HCS-C (ADMINISTRATOR)
(318) 329-8292
Entity
Organization
Contact information
Practice address
1008 JULIA ST STE 2, RAYVILLE, LA 71269-2603
(318) 329-8292
Mailing address
1527 DOCTORS DR, BOSSIER CITY, LA 71111-3694
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
07/14/2020
Last updated
08/23/2020
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