Organization · Type 2 NPI
Gamble Hospice Care Northwest, LLC
Community Based Hospice Care Agency · Shreveport, LA
NPI number
1225079643
Active
Practice location
8950 E Kings Hwy
Shreveport, LA 71115
Fax (318) 861-2157
Mailing address
600 N Pearl St Ste 1050
Dallas, TX 75201-7495
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Based Hospice Care Agency Primary | 251G00000X | 2203781702 (LA) |
| Inpatient Hospice | 315D00000X | 150 (LA) |
| Inpatient Hospice | 315D00000X | 2203781702-I (LA) |
Community Based Hospice Care Agency: Definition to come...
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About NPI 1225079643
Gamble Hospice Care Northwest, LLC's National Provider Identifier is 1225079643, issued on Jun 9, 2006. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Shreveport, LA. The record was last updated on Mar 3, 2020.