OrganizationActive
A Moment in Time Patient Care Services. LLC
NPI 1902280506 · Adult Care Home Facility · Keithville, LA
Provider details
- NPI number
- 1902280506
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Catherine Miller, Owner(318) 773-8643
- License
- 10616713#3CF52 (LA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
3085 Keithville Kingston Rd
Keithville, LA 71047-8360
Phone: (318) 773-8643
Fax: (318) 925-3373
Approximate (ZIP-level) locationGet directions
Mailing address
9435 Mansfield Rd
Shreveport, LA 71118-3859
Registry dates
- Enumerated
- 2015-07-13
- Last updated
- 2015-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.