PMG OPCO-GUEST HOUSE LLC

SHREVEPORT, LA
NPI1184185506
Entity TypeOrganization
Authorized ContactSTEVEN BOULWARE
Managing Member
972-428-0900
Organization Subpart ?No
Primary Taxonomy314000000X Skilled Nursing Facility
Enumeration Date2019-03-28
Last Update Date2019-03-28
Business Address
PMG OPCO-GUEST HOUSE LLC
9225 NORMANDIE DR
SHREVEPORT, LA 71118-3249
Phone number: 318-686-0515
Mailing Address
PMG OPCO-GUEST HOUSE LLC
9225 NORMANDIE DR
SHREVEPORT, LA 71118-3249
Phone number: 318-686-0515
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