OrganizationActive
Complete Vital Care, Inc.
NPI 1386668804 · Parenteral & Enteral Nutrition Supplies (DME) · Shreveport, LA
Provider details
- NPI number
- 1386668804
- Entity type
- Organization
- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)Suppliers
- Organization subpart
- No
- Authorized official
- George Gardiner, President(318) 686-9995
- License
- 4863 IR (LA)
Specialties & taxonomies
Suppliers
Practice location
2530 Bert Kouns Industrial Loop
Ste 116
Shreveport, LA 71118-3132
Phone: (318) 686-9995
Fax: (318) 686-9997
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 5047
Meridian, MS 39302-5047
Other names (DBA / former)
- Doing business as
- Complete Vital Care - Shreveport
Registry dates
- Enumerated
- 2006-07-27
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.