4405 Airline Drive Opco LLC
NPI #1437915477 in Bossier City, Louisiana
Provider Information
- NPI Number
- 1437915477
- Entity Type
- Organization
- Organization Name
- 4405 Airline Drive Opco LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Feb 27, 2024
- Last Updated
- Aug 23, 2024
Practice Location
- Address
- 4405 AIRLINE DR
- City
- Bossier City
- State
- Louisiana
- ZIP Code
- 71111-2058
- Phone
- (318) 747-5440
Authorized Official
- Name
- SHLOMO MUSHELL
- Title
- MANAGER
- Phone
- (917) 251-5131
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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