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Ida Allen

Case Manager/Care Coordinator in Shreveport, LA. Individual provider (NPI-1).

NPI number1891364022
StatusActive
Last updated in NPPESJun 22, 2021

Details

NPI
1891364022
Entity type
Individual (NPI-1)
Name
Ida Allen
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 22, 2021
Certification date
Jun 22, 2021
Last updated
Jun 22, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

3625 Youree Dr
Shreveport, LA 71105-2121

Phone 318-779-8167

Mailing address

8326 Kelwood Ave
Baton Rouge, LA 70806-4803

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Case Manager/Care Coordinator providers in Shreveport, LA

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