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Organization
LA OLD HAMMOND HWY, LLC
Active
Organization
LA OLD HAMMOND HWY, LLC
Active
Other names
Pines Retirement Center of Baton Rouge
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROY B BRIDGES (AUTHORIZED AGENT)
(727) 330-2801
Entity
Organization
Contact information
Practice address
14686 OLD HAMMOND HWY, BATON ROUGE, LA 70816-1235
(225) 272-9339
(225) 272-4171
Mailing address
24641 US HIGHWAY 19 N, CLEARWATER, FL 33763-5007
(727) 210-0781
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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