| Volunteers Of America North Louisiana | |
|
520 Olive St Shreveport LA 71104-2312 | |
| (318) 221-8404 | |
| (318) 227-6179 |
| Full Name | Volunteers Of America North Louisiana |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 520 Olive St, Shreveport, Louisiana |
| Authorized Official Name and Position | Eddie Jenkins (VICE PRESIDENT OF BEHAVIOR) |
| Authorized Official Contact | 3182218404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Volunteers Of America North Louisiana 520 Olive St Shreveport LA 71104-2312 Ph: (318) 221-8404 | Volunteers Of America North Louisiana 520 Olive St Shreveport LA 71104-2312 Ph: (318) 221-8404 |
| NPI Number | 1629529292 |
|---|---|
| Provider Enumeration Date | 10/19/2016 |
| Last Update Date | 10/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629529292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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