NPI 1912059932

Willis Knighton Medical Center, INC.

Organisation Psychiatric Hospital Unit Shreveport, LA

Practice location

Address: 1111 Line Avenue, Shreveport, LA 71101
Phone: (318) 212-5000
Fax: (318) 212-4192
Mailing address: PO Box 32600, Shreveport, LA 71130-2600

Authorised official

Name: Mary Jane Ward
Title: Cfo
Phone: (318) 212-4384

Registered specialties

Psychiatric Hospital Unit Primary

Hospital Units Taxonomy 273R00000X Licence 232A (LA)

Other Psychiatric Unit providers in Louisiana →

Registry record

NPI: 1912059932
Entity type: Organization
NPI issued: 18 Jan 2007
Record last updated: 17 Feb 2017

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.