# CORNERSTONE POST ACUTE CARE OF BOSSIER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cornerstone Post Acute Care of Bossier
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619629763
- **Authorized official:** JAMES MANNING (DIRECTOR)
- **Authorized official phone:** (318) 841-5555

## Contact information

- **Practice address:** 4900 MEDICAL DR, BOSSIER CITY, LA 71112-4521
- **Practice address phone:** (318) 841-5555
- **Practice address fax:** (318) 841-5563
- **Mailing address:** 4900 MEDICAL DR, BOSSIER CITY, LA 71112-4521
- **Mailing address phone:** (318) 841-5555
- **Mailing address fax:** (318) 841-5563

## Taxonomy

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

## Other

- **Enumeration date:** 01/20/2022
- **Last updated:** 04/28/2025
