NPI 1407853716 MAGNOLIA COMPREHENSIVE OUTPATIENT REHABILIATION FACILITY INC. SHREVEPORT LA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

NPI Look Up

Magnolia Comprehensive Outpatient Rehabiliation Facility Inc. - NPI: 1407853716

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: MAGNOLIA COMPREHENSIVE OUTPATIENT REHABILIATION FACILITY INC.
NPI Number: 1407853716
Entity Type Code: Organizational (2)
Authorized Official Name: DEWARRENT LEE BRANTLEY
(CEO/PRESIDENT)
Mailing Address: 2005 Creswell Ave
Shreveport
State: LA US
Postal Code: 711042201
Phone Number: 3186760705
Fax Number: 3186760709
NPI Enumeration Date: 06/30/2005
NPI Last Update Date: 08/18/2011
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 261QR0401X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
Y
State:
Taxonomy Type: Ambulatory Health Care Facilities
Taxonomy Classification: Clinic/Center
Taxonomy Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Taxonomy Definition:


NPI Number Lookup by City
(For Example: San Jose)


© Npinolookup.com 2016
Disclaimer