OrganizationActive
Shriners Hospitals for Children
NPI 1851048821 · Rehabilitation Clinic/Center · Shreveport, LA
Provider details
- NPI number
- 1851048821
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jerry Gantt, President(813) 281-0300
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3100 Samford Ave
Suite PT
Shreveport, LA 71103-4239
Phone: (318) 222-5704
Fax: (318) 424-7610
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 8500 Lockbox #7642
Philadelphia, PA 19178-7642
Registry dates
- Enumerated
- 2022-03-09
- Last updated
- 2022-03-09
- Certified
- 2022-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.