PHOENIX HEALTH SERVICES, LLC

SHREVEPORT, LA
NPI1013932904
Entity TypeOrganization
Authorized ContactSURESH K DONEPUDI
Owner
318-688-5416
Organization Subpart ?No
Primary Taxonomy261QM0801X 
Enumeration Date2006-07-13
Last Update Date2008-08-08
Business Address
PHOENIX HEALTH SERVICES, LLC
2021 LINE AVE
SHREVEPORT, LA 71104-2124
Phone number: 318-221-0661
Mailing Address
PHOENIX HEALTH SERVICES, LLC
8921 MANSFIELD RD
SHREVEPORT, LA 71118-2144
Phone number: 318-688-5416
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