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General NPI Number Information
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NPI Number | 1386789550
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Entity Type | Organization
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Legal Business Name | VOLUNTEERS OF AMERICA OF NORTH LOUISIANA
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 360 JORDAN ST
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City | SHREVEPORT
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State | LA
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Zip | 71101-4847
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Country | US
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Telephone | 318-221-2669
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Fax | 318-429-7502
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Provider Business Mailing Address
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Address Line | 360 JORDAN ST
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City | SHREVEPORT
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State | LA
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Zip | 71101-4847
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Country | US
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Telephone | 318-221-2669
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Fax | 318-429-7502
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Authorized Official
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Title or Position | CAO
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Name | MR. WILLIAM MULLINNIX
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Credential |
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Telephone | 318-221-2669
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number |
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License Number State |
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