Primary Care at Home of Louisiana, LLC
NPI #1023565298 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1023565298
- Entity Type
- Organization
- Organization Name
- Primary Care at Home of Louisiana, LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Sep 6, 2016
- Last Updated
- Sep 6, 2016
Practice Location
- Address
- 6425 YOUREE DR STE 290
- Address 2
- ONE BELLEMEAD CENTER
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71105-4634
- Phone
- (318) 219-9549
Authorized Official
- Name
- DONALD D. STELLY
- Title
- PRESIDENT
- Phone
- (337) 233-1307
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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