Organization
LOVE COVERS MENTAL HEALTH REHABILITATION AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HENRY LEE AUBREY SR. (ADMINISTRATOR)
(318) 861-4357
Entity
Organization
Contact information
Practice address
6000 FAIRFIELD AVE, SHREVEPORT, LA 71106-1916
(318) 861-4357
Mailing address
6000 FAIRFIELD AVE, SHREVEPORT, LA 71106-1916
(318) 861-4357
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
101YM0800X
LA
Other
Enumeration date
04/05/2007
Last updated
06/26/2008
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