NPI:
1134838857
Provider Name:
BHG LXII LLC
Doing Business As: BHG MEDICAL SERVICES - LOUISIANA
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
Address:
1303 LINE AVE STE 600
OBOT ROOM # 100
SHREVEPORT, LA
ZIP 71101
Phone:
(318) 425-3400
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BHG LXII LLC is a rehabilitation and substance use disorder clinic center in Shreveport, LA. BHG LXII LLC NPI is 1134838857. The provider is registered as an organization entity type.
The provider Is Doing Business As Bhg Medical Services - Louisiana.
The provider's business location address is:
1303 LINE AVE STE 600
OBOT ROOM # 100
SHREVEPORT, LA
ZIP 71101-638
Phone: (318) 425-3400
Fax: (318) 425-3447
The provider's authorized official is Jay Higham .
The authorized official title is Ceo and has the following contact phone number (214) 365-6112.
The enumeration date for this NPI number is 11/21/2022 and was last updated on 1/12/2023.