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Repunda Mims Ball
Adult Companion in Shreveport, Louisiana
NPI 1194945360

Repunda Mims Ball is an Adult Companion based in Shreveport, LA. Repunda Mims Ball practices in Shreveport, LA. The NPI Number for Repunda Mims Ball is 1194945360 and holds a License No. 10737 (Louisiana).

The current practice location address for Repunda Mims Ball is 7505 Pines Rd Ste 1104, Shreveport, LA and can be reached out via phone at 318-671-1772 and via fax at 318-671-1774. You can also correspond with Repunda Mims Ball through the mailing address at 7505 PINES RD STE.1104, SHREVEPORT, LA - 71129 (mailing address contact number: 318-671-1772).

Location: 7505 Pines Rd Ste 1104, Shreveport, LA, 71129
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194945360
Provider Name
Repunda Mims Ball
Credential
Provider Entity Type
Individual
Gender
Female
Address
7505 Pines Rd Ste 1104, Shreveport, LA, 71129
Phone Number
318-671-1772
Fax Number
318-671-1774
Provider Enumeration Date
04/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1172057 05 LA
1542946 05 LA
1178969 05 LA
1545180 05 LA
institution
Provider Business Practice Location Address Details
Address
7505 Pines Rd Ste 1104
City
Shreveport
State
Louisiana
Zip
71129-3900
Phone Number
318-671-1772
Fax Number
318-671-1774
person
Provider Business Mailing Address Details
Address
7505 Pines Rd Ste.1104
City
Shreveport
State
Louisiana
Zip
71129
Phone Number
318-671-1772
Fax Number
318-671-1774
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Adult Companion
Speciality
-
Taxonomy
372600000X
License No.
10737 (Louisiana)
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
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