NPI 1154956241

Shreveport Rehabilitation Hospital, LLC

Organisation Rehabilitation Hospital Shreveport, LA

Practice location

Address: 1451 Fern Circle, Shreveport, LA 71105-7501
Phone: (469) 640-6503
Mailing address: 450 Century Pkwy STE 220, Allen, TX 75013-8135

Authorised official

Name: Tracey Nixon
Title: Chief Compliance Officer
Phone: (469) 640-6503

Registered specialties

Rehabilitation Hospital Primary

Hospitals Taxonomy 283X00000X

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Registry record

NPI: 1154956241
Entity type: Organization
NPI issued: 9 Mar 2020
Record last updated: 25 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.