REPUNDA MIMS BALL NPI 1194945360

NPI Information

Repunda Mims Ball is an adult companion in Shreveport, LA. The provider is an individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. Repunda Mims Ball NPI is 1194945360. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7505 PINES RD STE 1104
SHREVEPORT, LA
ZIP 71129-900
Phone: (318) 671-1772
Fax: (318) 671-1774

The enumeration date for this NPI number is 4/27/2007 and was last updated on 7/9/2007.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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