NPI 1073648853

Booker T. Washington Guest Care Center, LLC

Organisation Skilled Nursing Facility Shreveport, LA

Practice location

Address: 7605 Line Ave., Shreveport, LA 71106-5162
Phone: (318) 219-2608
Fax: (318) 861-7685
Mailing address: P.O. Box 52389, Shreveport, LA 71135-2389

Authorised official

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

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 993 (LA)

Other Skilled Nursing Facility providers in Louisiana →

Registry record

NPI: 1073648853
Entity type: Organization
NPI issued: 22 Feb 2007
Record last updated: 22 Jun 2011

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.