NPI 1295951176

Seniors Club

Organisation Nursing Facility/Intermediate Care Facility Shreveport, LA

Practice location

Address: 2653 Malcolm St, Shreveport, LA 71108-2720
Phone: (318) 635-0010
Fax: (318) 635-8844

Authorised official

Name: Karen R. McCoy
Title: Executive Director
Phone: (318) 635-0010

Registered specialties

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 2677 (LA)

Other Nursing Facility/Intermediate Care Facility providers in Louisiana →

Registry record

NPI: 1295951176
Entity type: Organization
NPI issued: 18 Apr 2007
Record last updated: 23 Jun 2008

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.