Provider Demographics
NPI:1003958760
Name:INTERIM HEALTHCARE STAFFING OF NORTH LA., INC.
Entity Type:Organization
Organization Name:INTERIM HEALTHCARE STAFFING OF NORTH LA., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:E
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:318-741-3776
Mailing Address - Street 1:PO BOX 165
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71161-0165
Mailing Address - Country:US
Mailing Address - Phone:318-741-3776
Mailing Address - Fax:318-742-7094
Practice Address - Street 1:331 MILAM ST
Practice Address - Street 2:SUITE 200
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71101-5353
Practice Address - Country:US
Practice Address - Phone:318-741-3776
Practice Address - Fax:318-742-7094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health