CC
COMMUNITY CARE CENTER OF SHREVEPORT SOUTH LLC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
SHREVEPORT, LA
Licensed since
2006
Rate
—
Federal identifiers
NPI registry number1083662944
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameTONI PARKINSON
TitleAUTHORIZED REPRESENTATIVE
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