VA DIABETIC FOOT SOURCE LLC NPI 1003139619

NPI Information

VA DIABETIC FOOT SOURCE LLC is a nursing care in Shreveport, LA. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. VA DIABETIC FOOT SOURCE LLC NPI is 1003139619. The provider is registered as an organization entity type.

The provider's business location address is:

9414 ASHMONT ST
SHREVEPORT, LA
ZIP 71129-830
Phone: (318) 560-2700

The provider's authorized official is Victor V Manning .
The authorized official title is Owner and has the following contact phone number (318) 560-2700.

The enumeration date for this NPI number is 3/10/2010 and was last updated on 3/10/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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