PMG OPCO-WASHINGTON LLC

SHREVEPORT, LA
NPI1184185654
Doing Business AsBOOKER T. WASHINGTON SKILLED NURSING AND REHABILITATION
Entity TypeOrganization
Authorized ContactSTEVEN BOULWARE
Managing Member
972-428-0900
Organization Subpart ?No
Primary Taxonomy314000000X Skilled Nursing Facility
Enumeration Date2019-03-27
Last Update Date2019-03-27
Business Address
PMG OPCO-WASHINGTON LLC
7605 LINE AVE
SHREVEPORT, LA 71106-5162
Phone number: 318-219-2608
Mailing Address
PMG OPCO-WASHINGTON LLC
7605 LINE AVE
SHREVEPORT, LA 71106-5162
Phone number: 318-219-2608