Gamble Hospice Care Northeast, Llc

NPI 1457429813 - Hospice, Inpatient - 315D00000X

NPI Details
NPI 1457429813
Enumeration Date 12/01/2006
Last Updated 03/26/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARYANN MARYANN
Position COO
Phone (318) 387-1115
Fax (318) 387-9160
Practice Location
510 TRENTON ST.
SUITE 100
WEST MONROE LA, 71291, US
Phone (318) 387-1115
Fax (318) 387-9160
Business Location
8950 E KINGS HWY
SHREVEPORT LA, 71115-2704, US
Phone (318) 861-2150
Fax (318) 221-1871
Toxanomy
Taxonomy Code 315D00000X
License State Louisiana
License Number 83
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According to our database, Gamble Hospice Care Northeast, Llc NPI is 1457429813, taxonomy code is 315D00000X and license number is 83, license state is located at Louisiana. Gamble Hospice Care Northeast, Llc physically located at 510 Trenton St., West Monroe LA, 71291. NPI Number 1033115704 has the healthcare provider type.

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1457429813 NPI number is provided on an as is basis without warranty of any kind. 1457429813 is maintained by the National Plan & Provider Enumeration System. The contents of Gamble Hospice Care Northeast, Llc are for informational purposes only.