SHREVEPORT REHABILITATION HOSPITAL LLC NPI 1154956241

NPI Information

SHREVEPORT REHABILITATION HOSPITAL, LLC is a rehabilitation hospital in Shreveport, LA. The provider is a hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. SHREVEPORT REHABILITATION HOSPITAL, LLC NPI is 1154956241. The provider is registered as an organization entity type.

The provider's business location address is:

1451 FERN CIRCLE
SHREVEPORT, LA
ZIP 71105-501
Phone: (469) 640-6503

The provider's authorized official is Tracey Nixon .
The authorized official title is Chief Compliance Officer and has the following contact phone number (469) 640-6503.

The CLIA number assigned to this NPI record is 19D2237811 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/9/2020 and was last updated on 3/9/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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