Provider Demographics
NPI:1568832038
Name:ORACLE CARE SERVICES LLC
Entity Type:Organization
Organization Name:ORACLE CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:JOYCE
Authorized Official - Last Name:LOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-990-3511
Mailing Address - Street 1:4850 SHED RD APT 29
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-5669
Mailing Address - Country:US
Mailing Address - Phone:318-990-3511
Mailing Address - Fax:
Practice Address - Street 1:4850 SHED RD APT 29
Practice Address - Street 2:
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-5669
Practice Address - Country:US
Practice Address - Phone:318-990-3511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-28
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health