The Glen Retirement System in Shreveport - Skilled Nursing Facility
The Glen Retirement System - NPI 1275614497
The Glen Retirement System is a Skilled Nursing Facility in Shreveport, Louisiana. The Glen Retirement System practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for The Glen Retirement System is 1275614497. The last update date is 2020-08-22.
The Glen Retirement System's current location address is 403 E Flournoy Lucas Rd, Shreveport, Louisiana. You can contact this provider via phone number 3187983500 and fax number 3187987988. The mailing address for The Glen Retirement System is 403 E Flournoy Lucas Rd, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Glen Retirement System |
|---|---|
| Address | 403 E Flournoy Lucas Rd, Shreveport, Louisiana |
| Phone Number | 3187983500 |
| Fax Number | 3187987988 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Williams D. Debra |
| Telephone Number | 3187983500 |
NPI Number Detail
| NPI Number | 1275614497 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 403 E Flournoy Lucas Rd |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711153906 |
| Phone Number | 3187983500 |
| Fax Number | 3187987988 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 93 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1510394 | LA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to The Glen Retirement System?
The The Glen Retirement System has been issued the NPI (National Provider Identifier) 1275614497 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of The Glen Retirement System?
The The Glen Retirement System is physically situated at 403 E Flournoy Lucas Rd, in the city of Shreveport, state of LA, with the postal code 711153906.
What is The Glen Retirement System's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The The Glen Retirement System's specialized field of practice is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of specialization is 314000000X.
When did the The Glen Retirement System receive its 1275614497?
The The Glen Retirement System was issued its 1275614497 on 2006-10-17, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding The Glen Retirement System, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to The Glen Retirement System, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.