| NPI | 1578572038 |
|---|---|
| Other Name | HOMER MEMORIAL HOSPITAL |
| Former Legal Business Name | DONALD K. HAYNES, ETAL PTRS |
| Entity Type | Organization |
| Authorized Contact | KEITHA COOK Office Manager 318-927-3571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: LA 008287) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2022-06-22 |