ISLAM LLC

SHREVEPORT, LA
NPI1902310899
Entity TypeOrganization
Authorized ContactJAHRUL ISLAM
Physician
318-773-0657
Organization Subpart ?No
Primary Taxonomy282N00000X General Acute Care Hospital
Enumeration Date2017-11-30
Last Update Date2018-06-19
Business Address
ISLAM LLC
9815 PARAGON LN
SHREVEPORT, LA 71115
Phone number: 318-773-0657
Mailing Address
ISLAM LLC
PO BOX 19284
SHREVEPORT, LA 71149-0284
Phone number: 318-773-0657