Organization
WILLIS KNIGHTON MEDICAL CENTER, INC.
Active
Other names
WK Extended Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
STACY H ALEXANDER (CONTROLLER)
(318) 212-4877
Entity
Organization
Contact information
Practice address
2550 KINGS HWY, SHREVEPORT, LA 71103-3922
(318) 212-8200
(318) 212-8220
Mailing address
PO BOX 32600, SHREVEPORT, LA 71130-2600
(318) 212-8200
(318) 212-8220
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
232
LA
Other
Enumeration date
06/02/2006
Last updated
08/22/2020
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