OrganizationActive
Booker Scc LLC
NPI 1861873770 · Skilled Nursing Facility · Shreveport, LA
Provider details
- NPI number
- 1861873770
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Beal, Chief Executive Officer(214) 252-7600
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
600 N Pearl St Ste 1050
Dallas, TX 75201-7495
Other names (DBA / former)
- Doing business as
- Scc of Booker T. Washington Rehabilitation Center
- Doing business as
- Scc of Booker T. Washington Rehabilitation Center
Registry dates
- Enumerated
- 2015-06-16
- Last updated
- 2020-03-04
- Certified
- 2020-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.