Organization
GARDEN PARK NURSING & REHABILITATION CENTER, LLC
Active
Other names
Garden Park Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TEDDY RAY PRICE (MANAGING MEMBER)
(318) 628-4116
Entity
Organization
Contact information
Practice address
9111 LINWOOD AVE, SHREVEPORT, LA 71106-6509
(318) 688-0961
(318) 686-9287
Mailing address
PO BOX 6479, SHREVEPORT, LA 71136-6479
(318) 688-0961
(318) 686-9287
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
398
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1517798
—
LA
Enumeration date
11/07/2005
Last updated
09/12/2024
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