Organization
ST. LUKES REHABILITAION HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY L CAIN (CEO)
(210) 493-5565
Entity
Organization
Contact information
Practice address
2140 MIDWAY ST, SHREVEPORT, LA 71108-2206
(318) 631-2345
Mailing address
2140 MIDWAY ST, SHREVEPORT, LA 71108-2206
(318) 631-2345
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
547
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1701971
—
LA
Enumeration date
07/05/2006
Last updated
08/22/2020
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