NPI 1063454338

Pilgrim Manor Guest Care Center, LLC

Organisation Skilled Nursing Facility Bossier City, LA

Practice location

Address: 1524 Doctors Dr, Bossier City, LA 71111-3322
Phone: (318) 742-1623
Fax: (318) 742-2878
Mailing address: PO Box 52389, Shreveport, LA 71135-2389

Authorised official

Name: Kevin C Gamble
Title: Officer
Phone: (318) 798-2648

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 873 (LA)

Other Skilled Nursing Facility providers in Louisiana →

Registry record

NPI: 1063454338
Entity type: Organization
NPI issued: 12 Jun 2006
Record last updated: 27 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.