Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Magnolia Comprehensive Outpatient Rehabiliation Facility Inc

Organization Comprehensive Outpatient Rehabilitation Facility (CORF) · NPI 1407853716

Magnolia Comprehensive Outpatient Rehabiliation Facility Inc is a Comprehensive Outpatient Rehabilitation Facility (CORF) in Shreveport, Louisiana. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2005 Creswell Ave
Shreveport, LA 71104-2201
Phone: (318) 676-0705
Fax: (318) 676-0709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Comprehensive Outpatient Rehabilitation Facility (CORF) (primary) Taxonomy 261QR0401X

Record details

NPI number1407853716
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dewarrent Brantley — Ceo/President · (318) 676-0705
NPI enumeratedJune 30, 2005
Last updated in NPPESAugust 18, 2011
Mailing address2005 Creswell Ave, Shreveport, LA 71104-2201

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