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Intermediate Care Facility, Mental Illness

Shreveport, Louisiana

Provider NPI: 1225256035

Organization Information:

Practice Location:
Tel: 318-797-8500  Fax: --

Business Mailing Address:
Tel: --  Fax: --


PrimaryCodeCategory/DescriptionStateLicense Number
Y310500000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mental Illness


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