Organization
THE GLEN RETIREMENT SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA D. WILLIAMS (CHIEF FINANCIAL OFFICER)
(318) 798-3500
Entity
Organization
Contact information
Practice address
403 E FLOURNOY LUCAS RD, SHREVEPORT, LA 71115-3906
(318) 798-3500
(318) 798-7988
Mailing address
2535 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71118-3159
(318) 683-5111
(318) 683-5141
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/23/2007
Last updated
07/15/2009
Update your record
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