institution
Magnolia Comprehensive Outpatient Rehabiliation Facility Inc.
Comprehensive Outpatient Rehabilitation Facility (CORF) in Shreveport, Louisiana
NPI 1407853716

Magnolia Comprehensive Outpatient Rehabiliation Facility Inc. is a Comprehensive Outpatient Rehabilitation Facility (CORF) based in Shreveport, LA and is specialized in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF). Magnolia Comprehensive Outpatient Rehabiliation Facility Inc. practices in Shreveport, LA. The NPI Number for Magnolia Comprehensive Outpatient Rehabiliation Facility Inc. is 1407853716 and holds a License No. (Louisiana).

The current practice location address for Magnolia Comprehensive Outpatient Rehabiliation Facility Inc. is 2005 Creswell Ave, Shreveport, LA and can be reached out via phone at 318-676-0705 and via fax at 318-676-0709.

Location: 2005 Creswell Ave, Shreveport, LA, 71104-2201
institution
Provider Profile Details
NPI Number
1407853716
Provider Name
Magnolia Comprehensive Outpatient Rehabiliation Facility Inc.
Credential
Provider Entity Type
Organization
Address
2005 Creswell Ave, Shreveport, LA, 71104-2201
Phone Number
318-676-0705
Fax Number
318-676-0709
Provider Enumeration Date
06/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1159310 05 LA
institution
Provider Business Practice Location Address Details
Address
2005 Creswell Ave
City
State
Zip
71104-2201
Phone Number
318-676-0705
Fax Number
318-676-0709
person
Provider Business Mailing Address Details
Address
2005 Creswell Ave
City
State
Zip
71104-2201
Phone Number
318-676-0705
Fax Number
318-676-0709
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Taxonomy
License No.
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Definition
Definition to come...
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