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NPI Code Detail

MEDICARE: DEPARTMENT OF HEALTH AND HOSPITALS

MEDICARE: DEPARTMENT OF HEALTH AND HOSPITALS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation Facility012LA

General Provider Information

NPI Number : 1386601425
Entity Type Code : Organization
Provider Name (Legal Business Name) : DEPARTMENT OF HEALTH AND HOSPITALS
Provider Business Mailing Address
First Line : 6240 GREENWOOD RD
Second Line :
City : SHREVEPORT
State : LA
Zip : 71119-8413
Country : US
Telephone Number : 318-632-2010
Fax Number : 318-632-2055
Provider Business Practice Location Address
First Line : 6240 GREENWOOD RD
Second Line :
City : SHREVEPORT
State : LA
Zip : 71119-8413
Country : US
Telephone Number : 318-632-2010
Fax Number : 318-632-2055
Authorized Official
Title or Position : FACILITY MANAGER
Name : GEORGE SEWELL
Credential :
Telephone Number : 318-632-2010
Provider Enumeration Date : 05/01/2006
Last Update Date : 11/02/2007

Similar Medicare Providers

1750348462 — DEPARTMENT OF HEALTH AND HOSPITALS
Practice Location Address:
6240 GREENWOOD RD
SHREVEPORT, LA
71119-8413
Practice Phone: 318-632-2010
Practice Fax: 318-632-2055
1689600025 — GREGORY R PALLAY LPC , LMFT
Practice Location Address:
6240 GREENWOOD RD
SHREVEPORT, LA
71119-8413
Practice Phone: 318-632-2010
Practice Fax: 318-632-2055
1407883879 — MYRA CARTER LAC
Practice Location Address:
6240 GREENWOOD RD
SHREVEPORT, LA
71119-8413
Practice Phone: 318-632-2010
Practice Fax: 318-632-2055
1750310132 — PAUL M SEALE MSW, LCSW
Practice Location Address:
6240 GREENWOOD RD
SHREVEPORT, LA
71119-8413
Practice Phone: 318-632-2010
Practice Fax: 318-632-2055
1689603912 — GARY BAKER LCSW
Practice Location Address:
6240 GREENWOOD RD
SHREVEPORT, LA
71119-8413
Practice Phone: 318-632-2010
Practice Fax: 318-632-2055
1891725487 — CATHY WALKER LCSW
Practice Location Address:
6240 GREENWOOD RD
SHREVEPORT, LA
71119-8413
Practice Phone: 318-632-2010
Practice Fax: 318-632-2055

Directions to “DEPARTMENT OF HEALTH AND HOSPITALS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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