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Mark Alvarez
Child Physical Disabilities Respite Care in Shreveport, Louisiana
NPI 1225772742

Mark Alvarez is a Child Physical Disabilities Respite Care based in Shreveport, LA and is specialized in Respite Care, Physical Disabilities, Child. Mark Alvarez practices in Shreveport, LA. The NPI Number for Mark Alvarez is 1225772742 and holds a License No. (Louisiana).

The current practice location address for Mark Alvarez is 1501 Kings Hwy, Shreveport, LA and can be reached out via phone at 318-626-2293.

Location: 1501 Kings Hwy, Shreveport, LA, 71103-4228
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225772742
Provider Name
Mark Alvarez
Credential
Provider Entity Type
Individual
Gender
Male
Address
1501 Kings Hwy, Shreveport, LA, 71103-4228
Phone Number
318-626-2293
Fax Number
Provider Enumeration Date
04/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1501 Kings Hwy
City
Shreveport
State
Louisiana
Zip
71103-4228
Phone Number
318-626-2293
Fax Number
person
Provider Business Mailing Address Details
Address
1501 Kings Hwy
City
Shreveport
State
Louisiana
Zip
71103-4228
Phone Number
318-626-2293
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Physical Disabilities, Child
Taxonomy
385HR2065X
License No.
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Definition
A facility or distinct part of a facility that providers short term, residential care to children, diagnosed with complex or profound disabilities as respite for the regular caregivers.
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