Organization
BRFHH SHREVEPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN SKRIVANOS (CHAIRMAN OF BRF BOARD)
(318) 675-5000
Entity
Organization
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-5000
(318) 675-5666
Mailing address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-5000
(318) 675-5666
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
142
LA
Other
Enumeration date
08/26/2013
Last updated
08/26/2013
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