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NPI Code Detail

MEDICARE: DEPENDABLE CARE SERVICES

MEDICARE: DEPENDABLE CARE SERVICES
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 Agency00213180LA

Other Identifiers

General Provider Information

NPI Number : 1235392804
Entity Type Code : Organization
Provider Name (Legal Business Name) : DEPENDABLE CARE SERVICES
Provider Business Mailing Address
First Line : 2118 HOLLYWOOD AVE
Second Line :
City : SHREVEPORT
State : LA
Zip : 71108-3922
Country : US
Telephone Number : 318-632-5008
Fax Number : 318-632-5099
Provider Business Practice Location Address
First Line : 2118 HOLLYWOOD AVE
Second Line :
City : SHREVEPORT
State : LA
Zip : 71108-3922
Country : US
Telephone Number : 318-632-5008
Fax Number : 318-632-5099
Authorized Official
Title or Position : CEO
Name : MARY WILLIAMS
Credential :
Telephone Number : 318-632-5008
Provider Enumeration Date : 07/03/2008
Last Update Date : 05/14/2013

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Directions to “DEPENDABLE CARE SERVICES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.