Healthcare Provider Details

I. General information

NPI: 1306046628
Provider Name (Legal Business Name): THOMPSON BROS INVESTMENTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2007
Last Update Date: 07/28/2022
Certification Date: 07/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4811 MONROE HWY
BALL LA
71405-3945
US

IV. Provider business mailing address

4811 MONROE HWY
BALL LA
71405-3945
US

V. Phone/Fax

Practice location:
  • Phone: 318-640-7422
  • Fax: 318-640-7472
Mailing address:
  • Phone: 318-640-7422
  • Fax: 318-640-7472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number11274
License Number StateLA

VIII. Authorized Official

Name: MELISSA COSTON
Title or Position: ADMINISTRATOR
Credential:
Phone: 318-640-7422