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Organization
BOSSIER HEALTHCARE LLC
Active
Organization
BOSSIER HEALTHCARE LLC
Active
Other names
Heritage Manor of Bossier
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH USSERY (VP)
(407) 571-1550
Entity
Organization
Contact information
Practice address
2575 AIRLINE DR, BOSSIER CITY, LA 71111-5812
(318) 746-7466
(318) 747-0014
Mailing address
2575 AIRLINE DR, BOSSIER CITY, LA 71111-5812
(318) 746-7466
(318) 747-0014
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
877
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510823
—
LA
Enumeration date
05/30/2006
Last updated
11/27/2023
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