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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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y282E00000XHospitals
Long Term Care Hospital
LA144

Other Provider Identifiers:

IssuerNumberStateType
1715301LA05
Code values:
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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