Organization
SENIOR MANAGEMENT SERVICES OF SHREVEPORT LLC
Active
Other names
NurseCare Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
TROY CLANTON (PRESIDENT)
(817) 468-1991
Entity
Organization
Contact information
Practice address
1736 IRVING PL, SHREVEPORT, LA 71101-4606
(318) 221-1983
(318) 222-2095
Mailing address
800 W ARBROOK BLVD, STE 210, ARLINGTON, TX 76015-4327
(817) 468-1991
(817) 468-3133
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1522104
—
LA
Enumeration date
10/19/2005
Last updated
08/22/2020
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