Magnolia Rehabilitation Services INC
Clinic/Center, Multi-Specialty in Shreveport, Louisiana
1881691194- Practice location
- 4005 Lakeshore Dr, Shreveport, LA 71109-1927
- Phone
- 337-324-8465
- Fax
- 318-676-3083
- Last updated
- June 4, 2025
Magnolia Rehabilitation Services INC is a healthcare organization based in Shreveport, LA. Magnolia Rehabilitation Services INC practices in Shreveport, LA. The NPI Number for Magnolia Rehabilitation Services INC is 1881691194 and holds a License No. 5CF64 (LA). The current practice location address for Magnolia Rehabilitation Services INC is 4005 Lakeshore Dr, Shreveport, LA 71109-1927 and can be reached out via phone at 337-324-8465 and via fax at 318-676-3083.
Provider Profile Details
- NPI Number
- 1881691194
- Provider Name
- Magnolia Rehabilitation Services INC
- Provider Entity Type
- Organization
- Address
- 4005 Lakeshore Dr, Shreveport, LA 71109-1927
- Phone Number
- 337-324-8465
- Fax Number
- 318-676-3083
- Primary Taxonomy
- Clinic/Center, Multi-Specialty · 261QM1300X
- Organization Subpart
- No
- Authorized Official
- Mr. Dewarrent Lee Brantley · Owner/Ceo · 318-840-9074
- Provider Enumeration Date
- June 30, 2005
- Last Update Date
- June 4, 2025
- Certification Date
- June 4, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4005 Lakeshore Dr
Shreveport, LA 71109-1927 - City
- Shreveport
- State
- Louisiana
- Zip
- 71109-1927
- Phone Number
- 337-324-8465
- Fax Number
- 318-676-3083
Provider Business Mailing Address Details
- Address
- 4005 Lakeshore Dr
Shreveport, LA 71109-1927 - City
- Shreveport
- State
- LA
- Zip
- 71109-1927
- Phone Number
- 318-840-9074
- Fax Number
- 318-860-3025
License Information
- Taxonomy (1)
- Clinic/Center · 261Q00000X
- License Number (2)
- 5CF64
- License State (2)
- LA
- Taxonomy (2)
- Clinic/Center, Multi-Specialty · 261QM1300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Magnolia Rehabilitation Services INC?
The NPI number of Magnolia Rehabilitation Services INC is 1881691194. It was assigned on June 30, 2005 and is currently active in the NPPES registry.
What is the specialty of Magnolia Rehabilitation Services INC?
Magnolia Rehabilitation Services INC is registered under the primary taxonomy Clinic/Center, Multi-Specialty (code 261QM1300X), licensed in LA under license number 5CF64.
Where does Magnolia Rehabilitation Services INC practice?
The practice location is 4005 Lakeshore Dr, Shreveport, LA 71109-1927. The office can be reached at 337-324-8465 (phone) or 318-676-3083 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1881691194 directly on the NPPES registry website.