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SHREVEPORT SURGERY CENTER PTRSHP

Adult Day Care

OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
SHREVEPORT, LA
Licensed since
2007
Rate
Federal identifiers
NPI registry number1598804486
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients100
Authorized official
NameMARY BRIDGES
TitleADMINISTRATOR
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