Organization · Type 2 NPI

PMG Opco-Shreveport LLC

Skilled Nursing Facility · Shreveport, LA

NPI number 1376004796 Active

Practice location

3302 Mansfield Rd
Shreveport, LA 71103-4106

Fax (318) 424-9985

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

3 other providers at this address

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About NPI 1376004796

PMG Opco-Shreveport LLC's National Provider Identifier is 1376004796, issued on Mar 28, 2019. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Shreveport, LA. The record was last updated on Mar 28, 2019.