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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SENIORS CLUB

Active Organization

SENIORS CLUB is a Custodial Care Facility organization located in SHREVEPORT, Louisiana. NPI 1417079526 is currently active in the NPPES registry. Verify at CMS.

Custodial Care Facility · SHREVEPORT, LA

Registration Details

NPI Number
1417079526
Provider Type
Organization
NPI Issued
Apr 6, 2007 (19.374799060115 yrs)
Last Updated
Jun 23, 2008
License
1114600 (LA)

Practice Information

Address
2653 MALCOLM ST
SHREVEPORT, LA, 711082720
Browse LA providers · Browse ZIP 71108
Phone
3186350010
Fax
3186358844
Primary Specialty
Custodial Care Facility
311Z00000X

Other Custodial Care Facility Organizations in SHREVEPORT, LA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.