Organization
EDWARDS' PERSONAL CARE ATTENDANT SERVICES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IDA WILSON EDWARDS R.N. (DIRECTOR)
(318) 671-1693
Entity
Organization
Contact information
Practice address
7505 PINES RD, SUITE 1185, SHREVEPORT, LA 71129-3935
(318) 688-1418
(318) 688-1419
Mailing address
7505 PINES RD, SUITE 1185, SHREVEPORT, LA 71129-3935
(318) 688-1418
(318) 688-1419
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PCA 14066
LA
Other
Enumeration date
12/10/2007
Last updated
12/11/2007
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