Organization
SOUTHERN OAKS NURSING & REHABILITATION CENTER, LLC
Active
Other names
SOUTHERN OAKS NURSING & REHABILITATION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
TEDDY RAY PRICE (MANAGING MEMBER)
(318) 628-4116
Entity
Organization
Contact information
Practice address
1524 GLEN OAK PL, SHREVEPORT, LA 71103-3816
(318) 221-0911
(318) 222-6333
Mailing address
1524 GLEN OAK PL, SHREVEPORT, LA 71103-3816
(318) 221-0911
(318) 222-6333
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
93
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510394
—
LA
Enumeration date
12/05/2006
Last updated
09/10/2024
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