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SURGICAL SUITES AT THE WALL CENTER, LLC

Adult Day Care

OIG CLEARNPI VERIFIED
Location
SHREVEPORT, LA
Licensed since
2008
Rate
Federal identifiers
NPI registry number1386893758
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameSIMEON WALL
TitleMEDICAL DIRECTOR
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