Organization
EXCEPTIONAL CLIENT CARE SERVICES L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES RAY JOHNSON (OWNER)
(318) 286-5935
Entity
Organization
Contact information
Practice address
6007 FINANCIAL PLZ STE 5B, SHREVEPORT, LA 71129-2675
(318) 688-2118
(318) 688-2013
Mailing address
6007 FINANCIAL PLZ STE 5B, SHREVEPORT, LA 71129-2675
(318) 688-2118
(318) 688-2013
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
11051
LA
251E00000X
Home Health Agency
11052
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1468061
—
LA
05
—
1470341
—
LA
05
—
1471411
—
LA
05
—
1790494
—
LA
Enumeration date
02/27/2007
Last updated
08/06/2007
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