Healthcare Provider Details

I. General information

NPI: 1114295102
Provider Name (Legal Business Name): BEST KARE JOURNEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2011
Last Update Date: 12/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

282 SHEPPARD ST
MINDEN LA
71055-4205
US

IV. Provider business mailing address

282 SHEPPARD ST
MINDEN LA
71055-4205
US

V. Phone/Fax

Practice location:
  • Phone: 318-382-1110
  • Fax: 318-382-1190
Mailing address:
  • Phone: 318-382-1110
  • Fax: 318-382-1190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JONATHAN GIBSON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 318-371-1474