# WEST CARROLL CARE CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114900099
- **Authorized official:** DEWANA LITTLE (ADMINISTRATOR)
- **Authorized official phone:** (318) 428-9612

## Contact information

- **Practice address:** 706 ROSS ST, OAK GROVE, LA 71263-9798
- **Practice address phone:** (318) 428-9612
- **Practice address fax:** (318) 428-6185
- **Mailing address:** 706 ROSS ST, OAK GROVE, LA 71263-9798
- **Mailing address phone:** (318) 428-9612
- **Mailing address fax:** (318) 428-6185

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 467 | LA | Yes |

## Other

- **Enumeration date:** 11/23/2005
- **Last updated:** 04/11/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1517747 | — | LA |