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Organization
BROWN DEVELOPMENT, LLC
Active
Organization
BROWN DEVELOPMENT, LLC
Active
Other names
The Olive Branch Senior Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY JANE EILAND NFA (ADMINISTRATOR)
(318) 574-8111
Entity
Organization
Contact information
Practice address
32 CROTHERS DR, TALLULAH, LA 71282-5510
(318) 574-8111
(318) 574-4691
Mailing address
32 CROTHERS DR, TALLULAH, LA 71282-5510
(318) 574-8111
(318) 574-4691
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
234
LA
332BN1400X
Nursing Facility Supplies (DME)
234
LA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
234
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1512346
—
LA
01
—
31282
BLUE CROSS BLUE SHIELD
LA
Enumeration date
09/13/2005
Last updated
08/11/2008
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