NPI 1740713148 · live from the CMS NPI Registry
Advance Mobile Dialysis INC.
Home Health in Shreveport, LA. National Provider Identifier 1740713148, active.
NPI record
| NPI | 1740713148 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Health 251E00000X |
| Practice location | 2054 Bermuda St, Shreveport, LA 71105 |
| Practice phone | 318-349-1826 |
| Enumerated | April 4, 2017 |
| Last updated | April 4, 2017 |
| Authorized official | Don Cook, Owner/President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health primary | 251E00000X | 10812630#5PK73 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.