| Intensive Specialty Hospital, Llc | |
|
1800 Irving Pl Shreveport LA 71101-4608 | |
| (318) 934-0539 | |
| (318) 656-5353 |
| Full Name | Intensive Specialty Hospital, Llc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1800 Irving Pl, 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, Llc 150 Airport Rd Ste 900 Lakewood NJ 08701-6988 Ph: (516) 668-9675 | Intensive Specialty Hospital, Llc 1800 Irving Pl Shreveport LA 71101-4608 Ph: (318) 934-0539 |
| NPI Number | 1316522774 |
|---|---|
| Provider Enumeration Date | 03/16/2021 |
| Last Update Date | 10/25/2023 |
| Certification Date | 10/20/2023 |
| Medicare PECOS PAC ID | 6507196995 |
|---|---|
| Medicare Enrollment ID | O20200612002217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316522774 | NPI | - | NPPES |
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