Organization
LIFECARE HOSPITALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CRONIN CPA (VICE PRESIDENT OF REIMBURSEMENT)
(469) 241-2128
Entity
Organization
Contact information
Practice address
9320 LINWOOD AVE, SHREVEPORT, LA 71106-7003
(318) 688-8504
(318) 671-6859
Mailing address
5340 LEGACY DR, SUITE 150, PLANO, TX 75024-3178
(469) 241-2100
(469) 241-5198
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
332
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1761044
—
LA
01
—
61426
BCBS
LA
Enumeration date
01/09/2007
Last updated
01/14/2012
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