SHREVEPORT MANOR, LLC

SHREVEPORT, LA
NPI1417999780
Entity TypeOrganization
Authorized ContactKEVIN C GAMBLE
Officer
318-798-2648
Organization Subpart ?No
Primary Taxonomy314000000X Skilled Nursing Facility
(Licence: LA  866)
Enumeration Date2006-06-12
Last Update Date2010-08-27
Business Address
SHREVEPORT MANOR, LLC
3302 MANSFIELD RD
SHREVEPORT, LA 71103-4106
Phone number: 318-222-9482
Mailing Address
SHREVEPORT MANOR, LLC
PO BOX 52389
SHREVEPORT, LA 71135-2389
Phone number: 318-798-2648