| Mind Rehabilitation And Resource Center, Inc | |
|
6009 Financial Plz Ste 102 Shreveport LA 71129-2615 | |
| (318) 828-1455 | |
| Not Available |
| Full Name | Mind Rehabilitation And Resource Center, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6009 Financial Plz Ste 102, Shreveport, Louisiana |
| Authorized Official Name and Position | Ken Akachukwu Chinweze (ADMINISTRATOR) |
| Authorized Official Contact | 7135535863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Rehabilitation And Resource Center, Inc 6009 Financial Plz Ste 102 Shreveport LA 71129-2615 Ph: (318) 828-1455 | Mind Rehabilitation And Resource Center, Inc 6009 Financial Plz Ste 102 Shreveport LA 71129-2615 Ph: (318) 828-1455 |
| NPI Number | 1851688105 |
|---|---|
| Provider Enumeration Date | 07/07/2011 |
| Last Update Date | 07/08/2023 |
| Certification Date | 07/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851688105 | NPI | - | NPPES |
| 1154547578 | Medicaid | LA | |
| 1194941518 | Medicaid | LA | |
| 1427274851 | Medicaid | LA | |
| 1194941526 | Medicaid | LA | |
| 1245456664 | Medicaid | LA | |
| 1629294053 | Medicaid | LA | |
| 1447474135 | Medicaid | LA | |
| 1841414489 | Medicaid | LA |
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