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GAMBLE HOSPICE CARE NORTHWEST, LLC

Hospice, Inpatient

Shreveport, Louisiana

Provider NPI: 1225079643

Organization Information:
Organization Name:  GAMBLE HOSPICE CARE NORTHWEST, LLC


Practice Location:
8950 E KINGS HWY  SHREVEPORT, LA 71115 US
Tel: 318-861-2150  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N315D00000XNursing & Custodial Care Facilities
Hospice, Inpatient
LA150
N315D00000XNursing & Custodial Care Facilities
Hospice, Inpatient
LA2203781702-I
Y251G00000XAgencies
Hospice Care, Community Based
LA2203781702

Other Provider Identifiers:

IssuerNumberStateType
1581089LA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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