JORDAN'S CROSSING HOSPICE LLC NPI 1639109952

NPI Information

JORDAN'S CROSSING HOSPICE, LLC is a hospice care community based in Shreveport, LA. JORDAN'S CROSSING HOSPICE, LLC NPI is 1639109952. The provider is registered as an organization entity type.

The provider's business location address is:

624 TRAVIS ST
SUITE 700
SHREVEPORT, LA
ZIP 71101-013
Phone: (318) 631-6789
Fax: (318) 631-6727

The provider's authorized official is Becki D Prudhome .
The authorized official title is Clinical Director/admin/co Owner and has the following contact phone number (318) 631-6789.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 8/21/2012.

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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