Healthcare Provider Details
I. General information
NPI: 1497954523
Provider Name (Legal Business Name): THOMPSON BROS INVESTMENTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/18/2007
Last Update Date: 09/19/2024
Certification Date: 09/19/2024
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
- Phone: 318-640-7422
- Fax: 318-640-7472
- Phone: 318-640-7422
- Fax: 318-640-7472
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3747P1801X |
| Taxonomy | Personal Care Attendant |
| License Number | 11272 |
| License Number State | LA |
VIII. Authorized Official
Name:
DIANNA
TEMPLE
Title or Position: ADMINISTRATOR
Credential:
Phone: 318-640-7422