# WILLIS KNIGHTON MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Home Health Departmant Willis Knighton Hospital Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326093782
- **Authorized official:** MARY JANE WARD (DIR DECISION SUPPORT)
- **Authorized official phone:** (318) 212-4384

## Contact information

- **Practice address:** 3300 ALBERT L BICKNELL DR, SUITE 4, SHREVEPORT, LA 71103-3903
- **Practice address phone:** (318) 212-4180
- **Practice address fax:** (318) 212-4382
- **Mailing address:** PO BOX 32600, SHREVEPORT, LA 71130-2600
- **Mailing address phone:** (318) 212-4544
- **Mailing address fax:** (318) 212-4192

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 65 | LA | Yes |

## Other

- **Enumeration date:** 05/24/2006
- **Last updated:** 12/05/2014