Organization · Type 2 NPI
Superior Hospice of Northwest Louisiana, LLC
Community Based Hospice Care Agency · Mansfield, LA
NPI number
1255521183
Active
Practice location
511 Jenkins St., Suite B
Mansfield, LA 71052
Fax (318) 872-2001
Mailing address
1523 Texas Ave.
Bastrop, LA 71220-4043
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | TBD (LA) |
| Community Based Hospice Care Agency Primary | 251G00000X | 238 (LA) |
Community Based Hospice Care Agency: Definition to come...
About NPI 1255521183
Superior Hospice of Northwest Louisiana, LLC's National Provider Identifier is 1255521183, issued on Jul 26, 2007. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Mansfield, LA. The record was last updated on May 14, 2012.