Magnolia Comprehensive Outpatient Rehabiliation Facility Inc. in Shreveport - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf)
Magnolia Comprehensive Outpatient Rehabiliation Facility Inc. - NPI 1407853716
Magnolia Comprehensive Outpatient Rehabiliation Facility Inc. is a Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf) in Shreveport, Louisiana. Magnolia Comprehensive Outpatient Rehabiliation Facility Inc. practices all healthcare services and medical treatments related to Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf). The NPI Number for Magnolia Comprehensive Outpatient Rehabiliation Facility Inc. is 1407853716. The last update date is 2011-08-18.
Magnolia Comprehensive Outpatient Rehabiliation Facility Inc.'s current location address is 2005 Creswell Ave, Shreveport, Louisiana. You can contact this provider via phone number 3186760705 and fax number 3186760709. The mailing address for Magnolia Comprehensive Outpatient Rehabiliation Facility Inc. is 2005 Creswell Ave, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Magnolia Comprehensive Outpatient Rehabiliation Facility Inc. |
|---|---|
| Address | 2005 Creswell Ave, Shreveport, Louisiana |
| Phone Number | 3186760705 |
| Fax Number | 3186760709 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO/PRESID |
|---|---|
| Authorized Official Name | Brantley Lee Dewarrent |
| Telephone Number | 3186760705 |
NPI Number Detail
| NPI Number | 1407853716 |
|---|---|
| Provider Enumeration Date | 2005-06-30 |
| Last Updated Date | 2011-08-18 |
Provider Mailing Address Detail
| Address | 2005 Creswell Ave |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711042201 |
| Phone Number | 3186760705 |
| Fax Number | 3186760709 |
Provider's Primary Taxonomy Detail
| Speciality | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf) |
|---|---|
| Taxonomy | 261Qr0401X |
|
Definition: Provides intensive rehabilitation therapy after illness, injury, or surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1159310 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Magnolia Comprehensive Outpatient Rehabiliation Facility Inc. by the Centers for Medicare & Medicaid Services?
The Magnolia Comprehensive Outpatient Rehabiliation Facility Inc. has been issued the NPI (National Provider Identifier) 1407853716 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Magnolia Comprehensive Outpatient Rehabiliation Facility Inc.'s facilities are situated?
The facilities of Magnolia Comprehensive Outpatient Rehabiliation Facility Inc. are physically located at the following address: 2005 Creswell Ave, Shreveport, LA, 711042201.
What is Magnolia Comprehensive Outpatient Rehabiliation Facility Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Magnolia Comprehensive Outpatient Rehabiliation Facility Inc. is Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (corf), and the taxonomy code that classifies this field of practice is 261Qr0401X.
On what date did the Centers for Medicare & Medicaid Services assign the 1407853716 to Magnolia Comprehensive Outpatient Rehabiliation Facility Inc.?
The Centers for Medicare & Medicaid Services assigned the 1407853716 to Magnolia Comprehensive Outpatient Rehabiliation Facility Inc. on 2005-06-30.
When was the information related to Magnolia Comprehensive Outpatient Rehabiliation Facility Inc. most recently updated or refreshed?
The details pertaining to the Magnolia Comprehensive Outpatient Rehabiliation Facility Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2011-08-18.
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