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Organization

SOUTHERN HILLS LLC

Active
Other names
Southern Hills Healthcare & Rehabilitation
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TONI PARKINSON (AUTHORIZED REPRESENTATIVE)
(601) 709-1408
Entity
Organization

Contact information

Practice address
9105 BAIRD RD, SHREVEPORT, LA 71118-3300
(318) 688-6691
(318) 688-2608
Mailing address
9105 BAIRD RD, SHREVEPORT, LA 71118-3300
(318) 688-6691
(318) 688-2608

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2203782204
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1521175
LA
01
30386
BLUE CROSS BLUE SHIELD
Enumeration date
09/21/2005
Last updated
06/22/2015
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