Organization
BRFHH SHREVEPORT LLC
Active
Other names
University Health Shreveport
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VERNON MOORE (CFO)
(318) 626-0000
Entity
Organization
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
(318) 675-7531
Mailing address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
(318) 675-7531
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
142
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1705675
—
LA
Enumeration date
09/08/2006
Last updated
08/25/2017
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