1417079526 SENIORS CLUB
Custodial Care Facility
Active
Basic Information
- Organization Name
- SENIORS CLUB
- Enumeration Date
- April 6, 2007
- Last Update
- June 23, 2008
- Authorized Official
- MRS. KAREN R. MCCOY RN
EXECUTIVE DIRECTOR
Phone: (318) 635-0010
Practice Location
- Address
- 2653 MALCOLM ST
SHREVEPORT, LA 711082720 - Phone
- (318) 635-0010
- Fax
- (318) 635-8844
Mailing Address
- Address
- 2653 MALCOLM ST
SHREVEPORT, LA 711082720 - Phone
- (318) 635-0010
- Fax
- (318) 635-8844
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | Custodial Care Facility | 1114600 | LA | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1172596 | 05 | LA | N/A |
| 1114600 | 05 | LA | N/A |
| 1560880 | 05 | LA | N/A |
Frequently Asked Questions
What is SENIORS CLUB's NPI number?
SENIORS CLUB's NPI number is 1417079526.
Which doctor has NPI number 1417079526?
The doctor with NPI number 1417079526 is SENIORS CLUB.
What is SENIORS CLUB's practice address?
SENIORS CLUB's practice address is 2653 MALCOLM ST, SHREVEPORT, LA, 711082720.
Which doctor practices at 2653 MALCOLM ST, SHREVEPORT, LA, 711082720?
SENIORS CLUB practices at 2653 MALCOLM ST, SHREVEPORT, LA, 711082720.
What is SENIORS CLUB's phone number?
SENIORS CLUB's phone number is (318) 635-0010.
Who is (318) 635-0010?
(318) 635-0010 is the phone number for SENIORS CLUB.
What is SENIORS CLUB's specialty?
SENIORS CLUB's specialty is Custodial Care Facility.
What type of doctor is SENIORS CLUB?
SENIORS CLUB is a Custodial Care Facility.
Is SENIORS CLUB a Custodial Care Facility?
Yes, SENIORS CLUB is a Custodial Care Facility.
Is SENIORS CLUB still practicing?
Yes, SENIORS CLUB is currently practicing.
Is SENIORS CLUB accepting new patients?
SENIORS CLUB may be accepting new patients. Please call their office at (318) 635-0010 to inquire about availability.
Is NPI 1417079526 still active?
Yes, NPI 1417079526 is currently active.
Where does SENIORS CLUB practice?
SENIORS CLUB practices in SHREVEPORT, LA.