NPI 1437915477
4405 Airline Drive Opco LLC
Practice location
- Address
- 4405 Airline Dr, Bossier City, LA 71111-2058
- Phone
- (318) 747-5440
- Fax
- (318) 747-5040
Authorised official
- Name
- Shlomo Mushell
- Title
- Manager
- Phone
- (917) 251-5131
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1437915477
- Entity type
- Organization
- NPI issued
- 27 Feb 2024
- Record last updated
- 23 Aug 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.