Organization

Martin Luther King Health Center

Clinic/Center in Shreveport, LA(View on Map)

Legal Business Name

Martin Luther King Health Center

NPI Number

1265675029

NPI Type

Organization

Enumeration Date

04/09/2009

Specialties

(Taxonomies)

Code

261Q00000X
333600000X

Primary Taxonomy

Yes
No

Licenses

State

Louisiana

License Number

2441-CH

Contact
Information

Purpose

Mailing
Location

Address

1233 SPRAGUE ST.
1233 SPRAGUE ST.

City

Shreveport
Shreveport

State

LA
LA

Postal Code

71101
71101

Country

US
US

Telephone Number

(318) 227-2912
(318) 227-2912

Authorized Official

Name

Ms. Janet Mentesane

Title or Position

EXECUTIVE DIRECTOR

Telephone Number

(318) 227-2912

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/09/2009

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