Pilgrim Manor Guest Care Center, Llc

LBN: Pilgrim Manor Guest Care Center, Llc
Pilgrim Manor Guest Care Center, Llc is an health care organization with primary practice located at 1524 Doctors Dr , Bossier City LA 71111-3322. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Pilgrim Manor Guest Care Center, Llc can be contacted via phone (318) 742-1623, or through Gamble, Kevin C via phone (318) 798-2648.

Contact Information

Primary practice address
1524 Doctors Dr Bossier City LA 71111-3322
Phone: (318) 742-1623
Fax: (318) 742-2878
Website:
Map and Directions
Authorized official contact:
Name: Gamble, Kevin C
Phone: (318) 798-2648

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 873 Louisiana

Profile Details

NPI number 1063454338
LBN Legal business name Pilgrim Manor Guest Care Center, Llc
DBA Doing business as
Authorized official Gamble, Kevin C
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2006
Last updated Aug 27th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063454338 NPPES
Louisiana MEDICAID 1510696

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