GAMBLE HOSPICE CARE NORTHWEST LLC NPI 1225079643

NPI Information

GAMBLE HOSPICE CARE NORTHWEST, LLC is a hospice care community based in Shreveport, LA. GAMBLE HOSPICE CARE NORTHWEST, LLC NPI is 1225079643. The provider is registered as an organization entity type.
The provider Is Doing Business As Aime Hospice Care.

The provider's business location address is:

8950 E KINGS HWY
SHREVEPORT, LA
ZIP 71115
Phone: (318) 861-2150
Fax: (318) 861-2157

The provider's authorized official is Michael Beal .
The authorized official title is Chief Executive Officer and has the following contact phone number (214) 252-7600.

The CLIA number assigned to this NPI record is 19D2097699 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2006 and was last updated on 3/3/2020.

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

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