SUCCESS ADULT DAY HEALTH CARE CENTER NPI 1033682943

NPI Information

NPI: 1033682943
Provider Name: SUCCESS ADULT DAY HEALTH CARE CENTER
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
211 N THOMAS DR
SHREVEPORT, LA
ZIP 71107
Phone: (318) 655-7375
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SUCCESS ADULT DAY HEALTH CARE CENTER is an adult day care clinic center in Shreveport, LA. SUCCESS ADULT DAY HEALTH CARE CENTER NPI is 1033682943. The provider is registered as an organization entity type.

The provider's business location address is:

211 N THOMAS DR
SHREVEPORT, LA
ZIP 71107-519
Phone: (318) 655-7375

The provider's authorized official is Mardosha Peek .
The authorized official title is Ceo and has the following contact phone number (318) 655-7375.

The enumeration date for this NPI number is 1/3/2019 and was last updated on 3/8/2021.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA0600X	Clinic/Center	Adult Day Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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