OrganizationActive
Booker T. Washington Guest Care Center, LLC
NPI 1073648853 · Skilled Nursing Facility · Shreveport, LA
Provider details
- NPI number
- 1073648853
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kevin Gamble, President(318) 798-2648
- License
- 993 (LA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
7605 Line Ave.
Shreveport, LA 71106-5162
Phone: (318) 219-2608
Fax: (318) 861-7685
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 52389
Shreveport, LA 71135-2389
Registry dates
- Enumerated
- 2007-02-22
- Last updated
- 2011-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.