CDS ASHLEY RIDGE

SHREVEPORT, LA
NPI1235442419
Entity TypeOrganization
Authorized ContactROBERT LAYNE BONVILLAIN
Owner/Clinical Director
318-865-0039
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: LA  316a)
Enumeration Date2010-07-16
Last Update Date2010-07-16
Business Address
CDS ASHLEY RIDGE
460 ASHLEY RIDGE BLVD SUITE 200
SHREVEPORT, LA 71106-7235
Phone number: 318-865-0039
Mailing Address
CDS ASHLEY RIDGE
460 ASHLEY RIDGE BLVD SUITE 200
SHREVEPORT, LA 71106-7235
Phone number: 318-865-0039
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