METROPOLITAN CIRCLES, LLC
Custodial Care Facility
Shreveport, Louisiana
Provider NPI: 1649496662
Organization Information:Organization Name: METROPOLITAN CIRCLES, LLC
Practice Location:
3510 LINWOOD AVE SHREVEPORT, LA 71103 US
Tel: 318-636-4194 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3510 LINWOOD AVE SHREVEPORT, LA 71103 US
Tel: 318-636-4194 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311Z00000X | Nursing & Custodial Care Facilities Custodial Care Facility | LA | 8267 |
N | 253Z00000X | LA | 1461954 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1461954 | LA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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