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Organization
LLC-I, LLC
Active
Organization
LLC-I, LLC
Active
Other names
Louisiana Extended Care Hospital of Natchitoches
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCUS D. MACIP (VICE PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
501 KEYSER AVE, 4TH FLOOR, NATCHITOCHES, LA 71457-6018
(318) 354-2044
(318) 354-2041
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700398
—
LA
01
—
190061427Z
BLUE CROSS BLUE SHIELD OF
LA
Enumeration date
09/26/2006
Last updated
06/20/2024
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