Provider Demographics
NPI:1699132738
Name:VOCATIONAL SOLUTIONS HEALTHCARE MANAGEMENT
Entity type:Organization
Organization Name:VOCATIONAL SOLUTIONS HEALTHCARE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PHUNDA
Authorized Official - Middle Name:
Authorized Official - Last Name:YARBROUGH
Authorized Official - Suffix:
Authorized Official - Credentials:LRC
Authorized Official - Phone:318-230-3285
Mailing Address - Street 1:1651 E 70TH ST # PMB274
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71105-5115
Mailing Address - Country:US
Mailing Address - Phone:318-230-3285
Mailing Address - Fax:318-925-1748
Practice Address - Street 1:1651 E 70TH ST # PMB274
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105-5115
Practice Address - Country:US
Practice Address - Phone:318-230-3285
Practice Address - Fax:318-925-1748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-20
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA646251B00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management