| NPI | 1306181680 |
|---|---|
| Doing Business As | SUPRA HOME CARE OF SHREVEPORT |
| Entity Type | Organization |
| Authorized Contact | LARRY BUTLER President 504-837-5557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: LA 15368) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2013-10-11 |