Organization
SPRINGLAKE ALF SCC LLC
Active
Other names
The Gables at Spring Lake
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAM JOY (EXECUTIVE ASSISTANT)
(214) 252-7703
Entity
Organization
Contact information
Practice address
8622 LINE AVE, SHREVEPORT, LA 71106-6108
(318) 861-2366
(318) 861-3022
Mailing address
600 N PEARL ST, SUITE 1100, DALLAS, TX 75201-2822
(214) 252-7703
(214) 252-7599
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
LA
Other
Enumeration date
06/17/2015
Last updated
08/18/2015
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