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NPI Code Detail

MEDICARE: HOSPICE OF SOUTH LOUISIANA, LLC

MEDICARE: HOSPICE OF SOUTH LOUISIANA, 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
1251G00000XCommunity Based Hospice Care Agency102LA

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 : 1891798302
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOSPICE OF SOUTH LOUISIANA, LLC
Provider Business Mailing Address
First Line : PO BOX 650
Second Line :
City : MANDEVILLE
State : LA
Zip : 70470-0650
Country : US
Telephone Number : 985-626-3281
Fax Number : 985-626-8773
Provider Business Practice Location Address
First Line : 6500 W MAIN ST
Second Line :
City : HOUMA
State : LA
Zip : 70360-2267
Country : US
Telephone Number : 985-868-3095
Fax Number : 985-868-3910
Authorized Official
Title or Position : CEO
Name : STEPHANIE SCHEDLER
Credential :
Telephone Number : 985-626-3281
Provider Enumeration Date : 05/30/2005
Last Update Date : 11/14/2011

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Directions to “HOSPICE OF SOUTH LOUISIANA, LLC ” Practice Location

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