| Residual Care, Llc. | |
|
679 Kings Towne Pl Shreveport LA 71108-6034 | |
| (318) 399-2274 | |
| Not Available |
| Full Name | Residual Care, Llc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 679 Kings Towne Pl, Shreveport, Louisiana |
| Authorized Official Name and Position | Veronica Blaze (OWNER) |
| Authorized Official Contact | 3183992274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Residual Care, Llc. 679 Kings Towne Pl Shreveport LA 71108-6034 Ph: (318) 399-2274 | Residual Care, Llc. 679 Kings Towne Pl Shreveport LA 71108-6034 Ph: (318) 399-2274 |
| NPI Number | 1932786563 |
|---|---|
| Provider Enumeration Date | 03/29/2021 |
| Last Update Date | 04/04/2024 |
| Certification Date | 04/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932786563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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