Pmg Opco-Springlake Llc

LBN: Pmg Opco-Springlake Llc
Pmg Opco-Springlake Llc is an health care organization with primary practice located at 8622 Line Ave , Shreveport LA 71106-6108. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Pmg Opco-Springlake Llc can be contacted via phone (318) 861-2366, or through Boulware, Steven via phone (972) 428-0900.

Contact Information

Primary practice address
8622 Line Ave Shreveport LA 71106-6108
Phone: (318) 861-2366
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Boulware, Steven
Phone: (972) 428-0900

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1063974335
LBN Legal business name Pmg Opco-Springlake Llc
DBA Doing business as
Authorized official Boulware, Steven
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2019
Last updated Apr 4th, 2019 - about 5 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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