Magnolia Manor Nursing & Rehabilitation Center

LBN: Magnolia Manor Nursing & Rehab Cntr Llc
Magnolia Manor Nursing & Rehabilitation Center is an health care organization with primary practice located at 1411 Claiborne Ave , Shreveport LA 71103-4203. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Magnolia Manor Nursing & Rehab Cntr Llc can be contacted via phone (318) 868-4421, or through Price, Teddy Ray via phone (318) 628-4116.

Contact Information

Primary practice address
1411 Claiborne Ave Shreveport LA 71103-4203
Phone: (318) 868-4421
Fax: (318) 868-4431
Website:
Map and Directions
Authorized official contact:
Name: Price, Teddy Ray
Phone: (318) 628-4116

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 204 Louisiana

Profile Details

NPI number 1740261411
LBN Legal business name Magnolia Manor Nursing & Rehab Cntr Llc
DBA Doing business as Magnolia Manor Nursing & Rehabilitation Center
Authorized official Price, Teddy Ray
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2005
Last updated May 4th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740261411 NPPES
Louisiana MEDICAID 1517186

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