Organization
WILLIS KNIGHTON MEDICAL CENTER, INC.
Active
Organization
WILLIS KNIGHTON MEDICAL CENTER, INC.
Active
Other names
Willis Knighton Behavioral Medicine Unit
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JANE WARD (CFO)
(318) 212-4384
Entity
Organization
Contact information
Practice address
1111 LINE AVENUE, SHREVEPORT, LA 71101
(318) 212-5000
(318) 212-4192
Mailing address
PO BOX 32600, SHREVEPORT, LA 71130-2600
(318) 212-5000
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
232A
LA
Other
Enumeration date
01/18/2007
Last updated
02/17/2017
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