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NPI Code Detail

MEDICARE: ANDERSONS CARE SERVICES LLC

MEDICARE: ANDERSONS CARE SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235294760
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANDERSONS CARE SERVICES LLC
Provider Business Mailing Address
First Line : 4638 VOSS DR
Second Line :
City : BOSSIER CITY
State : LA
Zip : 71111-2750
Country : US
Telephone Number : 318-752-9891
Fax Number : 318-742-7465
Provider Business Practice Location Address
First Line : 4638 VOSS DR
Second Line :
City : BOSSIER CITY
State : LA
Zip : 71111-2750
Country : US
Telephone Number : 318-752-9891
Fax Number : 318-742-7465
Authorized Official
Title or Position : RN DIRECTOR
Name : MRS. TANGULAR UVONNE ANDERSON
Credential : RN
Telephone Number : 318-752-9891
Provider Enumeration Date : 12/26/2006
Last Update Date : 08/22/2020

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