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Organization
COMMUNITY CARE CENTER OF ST MARTINVILLE LLC
Active
Organization
COMMUNITY CARE CENTER OF ST MARTINVILLE LLC
Active
Other names
Landmark of Acadiana
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONI PARKINSON (AUTHORIZED REPRESENTATIVE)
(601) 709-1408
Entity
Organization
Contact information
Practice address
1710 SMEDE HWY, SAINT MARTINVILLE, LA 70582
(337) 394-6044
(337) 394-7044
Mailing address
1710 SMEDE HWY, SAINT MARTINVILLE, LA 70582-7703
(337) 394-6044
(337) 394-7044
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
783
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521442
—
LA
01
—
31058
BLUE CROSS BLUE SHIELD
LA
Enumeration date
05/03/2006
Last updated
11/30/2024
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