Seniors Club
Custodial Care Facility in Shreveport, LA. Organization (NPI-2).
NPI number1487870366
StatusActive
Last updated in NPPESJun 23, 2008
Details
- NPI
- 1487870366
- Entity type
- Organization (NPI-2)
- Legal business name
- Seniors Club
- Organization subpart
- No
- Enumeration date
- Apr 18, 2007
- Last updated
- Jun 23, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311Z00000X | Custodial Care Facility | 7392 | LA | Yes |
Practice location
2653 Malcolm StShreveport, LA 71108-2720
Phone 318-635-0010 · Fax 318-635-8844
Mailing address
2653 Malcolm StShreveport, LA 71108-2720
Phone 318-635-0010 · Fax 318-635-8844
Authorized official
Karen R. McCoy
Executive Director
3186350010
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Custodial Care Facility providers in Shreveport, LA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.