Organization
WILLIS KNIGHTON MEDICAL CENTER, INC.
Active
Parent organization
WILLIS KNIGHTON MEDICAL CENTER, INC.
Other names
Hospice of Louisiana
Organization subpart
Yes
Provider details
NPI number
Legal business name
WILLIS KNIGHTON MEDICAL CENTER, INC.
Authorized official
MR. ROBERT D HUIE (EXECUTIVE VICE PRESIDENT)
(318) 212-4448
Entity
Organization
Contact information
Practice address
3300 ALBERT L BICKNELL DR, SUITE 3, SHREVEPORT, LA 71103-3903
(318) 212-4697
(318) 212-8377
Mailing address
3300 ALBERT L BICKNELL DR, SUITE 3, SHREVEPORT, LA 71103-3903
(318) 212-4697
(318) 212-8377
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
17
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1580104
—
LA
01
—
33720
BLUE CROSS/BLUE SHIELD
LA
Enumeration date
06/06/2006
Last updated
07/25/2008
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