# LAGNIAPPE HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hickory Manor Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154698280
- **Authorized official:** MR. CHARLES G GLADNEY JR. (MANAGING MEMBER)
- **Authorized official phone:** (318) 281-0078

## Contact information

- **Practice address:** 370 W HICKORY AVE, BASTROP, LA 71220-4442
- **Practice address phone:** (318) 281-6523
- **Practice address fax:** (318) 283-1097
- **Mailing address:** 1523 TEXAS AVE, BASTROP, LA 71220-4043
- **Mailing address phone:** (318) 281-0078
- **Mailing address fax:** (318) 281-2753

## Taxonomy

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

## Other

- **Enumeration date:** 11/17/2011
- **Last updated:** 11/17/2011