NPI 1518909886

Colonial Oaks Guest Care Center, LLC

Organisation Skilled Nursing Facility Bossier City, LA

Practice location

Address: 4921 Medical Dr, Bossier City, LA 71112-4522
Phone: (318) 742-5420
Fax: (318) 742-8887
Mailing address: PO Box 52389, Shreveport, LA 71135-2389

Authorised official

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

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 872 (LA)

Other Skilled Nursing Facility providers in Louisiana →

Registry record

NPI: 1518909886
Entity type: Organization
NPI issued: 12 Jun 2006
Record last updated: 27 Aug 2010

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.