# WILLIS KNIGHTON MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WK Extended Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144267451
- **Authorized official:** STACY H ALEXANDER (CONTROLLER)
- **Authorized official phone:** (318) 212-4877

## Contact information

- **Practice address:** 2550 KINGS HWY, SHREVEPORT, LA 71103-3922
- **Practice address phone:** (318) 212-8200
- **Practice address fax:** (318) 212-8220
- **Mailing address:** PO BOX 32600, SHREVEPORT, LA 71130-2600
- **Mailing address phone:** (318) 212-8200
- **Mailing address fax:** (318) 212-8220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 232 | LA | Yes |

## Other

- **Enumeration date:** 06/02/2006
- **Last updated:** 08/22/2020