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1548933948
LIGHT OF LIFE HEALTH AGENCY LLC
SHREVEPORT, LA
NPI
1548933948
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Entity Type
Organization
Authorized Contact
RAYUNA D SMITH
Hr Representative
318-658-0362
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2021-07-30
Last Update Date
2021-10-19
Business Address
LIGHT OF LIFE HEALTH AGENCY LLC
9730 BAIRD RD APT 822
SHREVEPORT, LA 71118-3821
Phone number: 318-349-0778
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Mailing Address
LIGHT OF LIFE HEALTH AGENCY LLC
9730 BAIRD RD APT 822
SHREVEPORT, LA 71118-3821
Phone number: 318-349-0778
Copy
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