| NPI | 1609257450 |
|---|---|
| Doing Business As | SCC OF SHREVEPORT MANOR REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BEAL Chief Executive Officer 214-252-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2020-03-04 |