# DHC OPCO-PINEVILLE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Christina Nursing & Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083037733
- **Authorized official:** BRADFORD M COHEN (MANAGING MEMBER)
- **Authorized official phone:** (337) 456-8500

## Contact information

- **Practice address:** 122 HILLSDALE DR, PINEVILLE, LA 71360-6856
- **Practice address phone:** (318) 448-0141
- **Practice address fax:** (318) 448-9772
- **Mailing address:** 210 MAGNATE DR STE 100, LAFAYETTE, LA 70508-3871
- **Mailing address phone:** (337) 456-8500
- **Mailing address fax:** (318) 448-9772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 888 | LA | Yes |

## Other

- **Enumeration date:** 01/31/2014
- **Last updated:** 06/19/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1510939 | — | LA |