The Arc Caddo Bossier

NPI 1295859668 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1295859668
Enumeration Date 03/19/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CHRIS L CHRIS
Position FINANCIAL DIRECTOR
Phone (318) 425-8978
Fax (318) 221-4262
Practice Location
351 JORDAN ST
SHREVEPORT LA, 71101-4846, US
Phone (318) 425-8978
Fax (318) 221-4262
Business Location
351 JORDAN ST
SHREVEPORT LA, 71101-4846, US
Phone (318) 425-8978
Fax (318) 221-4262
Toxanomy
Taxonomy Code 302R00000X
License State Louisiana
License Number 2501
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According to our database, The Arc Caddo Bossier NPI is 1295859668, taxonomy code is 302R00000X and license number is 2501, license state is located at Louisiana. The Arc Caddo Bossier physically located at 351 Jordan St, Shreveport LA, 71101-4846. NPI Number 1033115704 has the healthcare provider type.

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1295859668 NPI number is provided on an as is basis without warranty of any kind. 1295859668 is maintained by the National Plan & Provider Enumeration System. The contents of The Arc Caddo Bossier are for informational purposes only.