MEDICARE: PEOPLE FIRST OUTREACH INC

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
1	251T00000X	PACE Provider Organization	9633 SIL	LA
2	253Z00000X	In Home Supportive Care Agency

Other Identifiers

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

General Provider Information

NPI Number	:	1306055124
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEOPLE FIRST OUTREACH INC

Provider Business Mailing Address
First Line	:	820 JORDAN ST STE 215
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71101-4519
Country	:	US
Telephone Number	:	318-681-9988
Fax Number	:	318-681-9928

Provider Business Practice Location Address
First Line	:	820 JORDAN ST STE 215
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71101-4519
Country	:	US
Telephone Number	:	318-681-9988
Fax Number	:	318-681-9928

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. ROBINETT WEBB
Credential	:
Telephone Number	:	318-681-9988

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	12/18/2017

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1770757155 — PEOPLE FIRST OUTREACH INC.
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Directions to “PEOPLE FIRST OUTREACH INC ” Practice Location

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