Pilgrim Manor Guest Care Center, LLC
NPI #1063454338 in Bossier City, Louisiana
Provider Information
- NPI Number
- 1063454338
- Entity Type
- Organization
- Organization Name
- Pilgrim Manor Guest Care Center, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 12, 2006
- Last Updated
- Aug 27, 2010
Practice Location
- Address
- 1524 DOCTORS DR
- City
- Bossier City
- State
- Louisiana
- ZIP Code
- 71111-3322
- Phone
- (318) 742-1623
Authorized Official
- Name
- MR. KEVIN C GAMBLE
- Title
- OFFICER
- Phone
- (318) 798-2648
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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