Provider Demographics
NPI:1356644702
Name:PARAMOUNT HOSPICE NORTH LLC
Entity Type:Organization
Organization Name:PARAMOUNT HOSPICE NORTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:W
Authorized Official - Last Name:MCNEAL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:318-812-2140
Mailing Address - Street 1:409 N 7TH ST STE 2
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-4156
Mailing Address - Country:US
Mailing Address - Phone:318-812-2140
Mailing Address - Fax:318-812-2143
Practice Address - Street 1:813 PINE ST
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-4046
Practice Address - Country:US
Practice Address - Phone:318-812-2140
Practice Address - Fax:318-812-2143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-07
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient