Organization
UNIQUELYTAILORED SITTER SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE BOLDEN (OWNER)
(318) 409-9636
Entity
Organization
Contact information
Practice address
1545 LINE AVE STE 330A, SHREVEPORT, LA 71101-4600
(031) 840-9963
Mailing address
1545 LINE AVE STE 330A, SHREVEPORT, LA 71101-4600
(031) 840-9963
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/03/2023
Last updated
03/03/2023
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