NPI 1083662944

Community Care Center of Shreveport South LLC

Organisation Skilled Nursing Facility Shreveport, LA

Practice location

Address: 9712 Mansfield Rd, Shreveport, LA 71118-4406
Phone: (318) 687-2080
Fax: (318) 688-8103
Mailing address: 9712 Mansfield Rd, Shreveport, LA 71118-4498

Authorised official

Name: Toni Parkinson
Title: Authorized Representative
Phone: (601) 709-1408

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 784 (LA)

Other Skilled Nursing Facility providers in Louisiana →

Registry record

NPI: 1083662944
Entity type: Organization
NPI issued: 4 May 2006
Record last updated: 30 Nov 2024

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.