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Organization

HOLLYWOOD HEALTH SERVICE

Active
Other names
HHS Medical Transportation
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TIMOTHY RENE THOMAS (OPERATIONAL DIRECTOR)
(318) 402-9069
Entity
Organization

Contact information

Practice address
2835 HOLLYWOOD AVE, SHREVEPORT, LA 71108-3864
(318) 402-9069
(318) 861-5069
Mailing address
2835 HOLLYWOOD AVE, SHREVEPORT, LA 71108-3864
(318) 402-9069
(318) 861-5069

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
251S00000X
Community/Behavioral Health Agency
261QA0600X
Adult Day Care Clinic/Center
261QH0100X
Health Service Clinic/Center
261QH0700X
Hearing and Speech Clinic/Center
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
332B00000X
Durable Medical Equipment & Medical Supplies
332BD1200X
Dialysis Equipment & Supplies (DME)
332U00000X
Home Delivered Meals
343900000X
Non-emergency Medical Transport (VAN)
347C00000X
Private Vehicle

Other

Enumeration date
07/06/2017
Last updated
01/29/2020
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