Provider Demographics
NPI:1457932006
Name:LOYAL HANDS CONCIERGE SERVICES LLC
Entity Type:Organization
Organization Name:LOYAL HANDS CONCIERGE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHAWANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:318-201-4487
Mailing Address - Street 1:715 WOODWIND DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303-3890
Mailing Address - Country:US
Mailing Address - Phone:318-201-4487
Mailing Address - Fax:800-506-0540
Practice Address - Street 1:715 WOODWIND DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303-3890
Practice Address - Country:US
Practice Address - Phone:318-201-4487
Practice Address - Fax:800-506-0540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-15
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory