MAGNOLIA COMPREHENSIVE OUTPATIENT REHABILIATION FACILITY INC.

SHREVEPORT, LA
NPI1407853716
Entity TypeOrganization
Authorized ContactDEWARRENT LEE BRANTLEY
CEO/President
318-676-0705
Organization Subpart ?No
Primary Taxonomy261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Enumeration Date2005-06-30
Last Update Date2011-08-18
Business Address
MAGNOLIA COMPREHENSIVE OUTPATIENT REHABILIATION FACILITY INC.
2005 CRESWELL AVE
SHREVEPORT, LA 71104-2201
Phone number: 318-676-0705
Mailing Address
MAGNOLIA COMPREHENSIVE OUTPATIENT REHABILIATION FACILITY INC.
2005 CRESWELL AVE
SHREVEPORT, LA 71104-2201
Phone number: 318-676-0705
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