Organization
NEW LIFE REHABILITATION OF SHREVEPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC PEARCE (ADMINISTRATOR)
(318) 631-2345
Entity
Organization
Contact information
Practice address
2140 MIDWAY ST, SHREVEPORT, LA 71108-2206
(318) 631-2345
Mailing address
2140 MIDWAY ST, SHREVEPORT, LA 71108-2206
(318) 631-2345
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
—
—
Other
Enumeration date
02/07/2007
Last updated
08/22/2020
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