PRIMARY CARE AT HOME OF LOUISIANA, LLC

SHREVEPORT, LA
NPI1023565298
Entity TypeOrganization
Authorized ContactDONALD D. STELLY
President
337-233-1307
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2016-09-06
Last Update Date2016-09-06
Business Address
PRIMARY CARE AT HOME OF LOUISIANA, LLC
6425 YOUREE DR STE 290 ONE BELLEMEAD CENTER
SHREVEPORT, LA 71105-4634
Phone number: 318-219-9549
Mailing Address
PRIMARY CARE AT HOME OF LOUISIANA, LLC
PO BOX 51266
LAFAYETTE, LA 70505-1266
Phone number: 337-233-1307
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