| Intensive Specialty Hospital | |
|
1800 Irving Pl Ste 100 Shreveport LA 71101-4608 | |
| (318) 425-4096 | |
| (318) 424-2627 |
| Full Name | Intensive Specialty Hospital |
|---|---|
| Speciality | Long Term Care Hospital |
| Location | 1800 Irving Pl Ste 100, Shreveport, Louisiana |
| Authorized Official Name and Position | Chaim Rottenberg (ASSET MANAGER) |
| Authorized Official Contact | 3475225970 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intensive Specialty Hospital 45 Circle Pl Lakewood NJ 08701-3050 Ph: (347) 422-5970 | Intensive Specialty Hospital 1800 Irving Pl Ste 100 Shreveport LA 71101-4608 Ph: (318) 425-4096 |
| NPI Number | 1528622065 |
|---|---|
| Provider Enumeration Date | 04/30/2019 |
| Last Update Date | 09/18/2023 |
| Certification Date | 09/18/2023 |
| Medicare PECOS PAC ID | 6507196995 |
|---|---|
| Medicare Enrollment ID | O20190927001473 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528622065 | NPI | - | NPPES |
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