| NPI | 1679617849 |
|---|---|
| Other Name | SHRINERS HOSPITALS FOR CHILDREN SHREVEPORT |
| Entity Type | Organization |
| Authorized Contact | GARRY KIM GREEN Administrator 318-222-5704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital, Children (Licence: LA 179) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2014-03-07 |