Provider Demographics
NPI:1609105014
Name:KING LOUIS CHAMBERS LLC.
Entity Type:Organization
Organization Name:KING LOUIS CHAMBERS LLC.
Other - Org Name:KING LOUIS CHAMBERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-225-7999
Mailing Address - Street 1:480 S. CAPTIN GLOSTER RD.
Mailing Address - Street 2:
Mailing Address - City:GLOSTER
Mailing Address - State:MS
Mailing Address - Zip Code:39638
Mailing Address - Country:US
Mailing Address - Phone:601-225-7999
Mailing Address - Fax:601-645-0022
Practice Address - Street 1:480 S CAPTAIN GLOSTER DR
Practice Address - Street 2:
Practice Address - City:GLOSTER
Practice Address - State:MS
Practice Address - Zip Code:39638-3700
Practice Address - Country:US
Practice Address - Phone:601-225-7999
Practice Address - Fax:601-908-1370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-14
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No251E00000XAgenciesHome Health