STANLEY BLACKSHIRE

SHREVEPORT, LA
NPI1346720919
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2018-08-14
Last Update Date2018-08-14
Business Address
STANLEY BLACKSHIRE
842 MARGARET PL
SHREVEPORT, LA 71101-4521
Phone number: 318-675-0406
Mailing Address
STANLEY BLACKSHIRE
842 MARGARET PL
SHREVEPORT, LA 71101-4521
Phone number: