THE ARC OF CADDO BOSSIE
Long Term Care Hospital
Shreveport, Louisiana
Provider NPI: 1598899775
Organization Information:Organization Name: THE ARC OF CADDO BOSSIE
Practice Location:
351 JORDAN ST SHREVEPORT, LA 71101 US
Tel: 318-425-8978 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:
351 JORDAN ST SHREVEPORT, LA 71101 US
Tel: 318-425-8978 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 282E00000X | Hospitals Long Term Care Hospital | LA | 144 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1715301 | LA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin