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Organization
NORTHSHORE EXTENDED CARE HOSPITAL, LLC
Active
Organization
NORTHSHORE EXTENDED CARE HOSPITAL, LLC
Active
Other names
Northshore Extended Care Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD D. STELLY (PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
64030 LA 434, LACOMBE, LA 70445
(985) 218-4700
(985) 218-4701
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
—
—
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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