Premier Hospice of Mangham, LLC
NPI #1093905762 in Farmerville, Louisiana
Provider Information
- NPI Number
- 1093905762
- Entity Type
- Organization
- Organization Name
- Premier Hospice of Mangham, LLC
- Primary Specialty
- Hospice Care, Community Based
- Enumeration Date
- Jul 30, 2007
- Last Updated
- Jul 30, 2007
Practice Location
- Address
- 104-2 WEST BAYOU
- City
- Farmerville
- State
- Louisiana
- ZIP Code
- 71241
- Phone
- (318) 281-0000
Authorized Official
- Name
- CHARLES GOODWIN GLADNEY JR.
- Title
- MANAGING PARTNER
- Phone
- (318) 281-0000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Hospice Care, Community Based |
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