SENIORS CLUB

Custodial Care Facility

Active Organization
NPI: 1417079526

Practice Address

2653 MALCOLM ST
Shreveport, LA 71108

Phone: (318) 635-0010

Specialties

Specialty Code Primary License
Custodial Care Facility 311Z00000X Yes 1114600 (LA)

Frequently Asked Questions

NPI 1417079526 is the National Provider Identifier for SENIORS CLUB, a Custodial Care Facility provider located in Shreveport, LA. This NPI was enumerated on April 6, 2007.

Quick Facts

NPI
1417079526
Type
Organization
Enumerated
Apr 6, 2007
Last Updated
Jun 23, 2008

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