# PLANTATION MANAGEMENT COMPANY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GOLDEN AGE HEALTHCARE AND REHABILITATION
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194768762
- **Authorized official:** MS. KIM DELATTE (COMPTROLLER)
- **Authorized official phone:** (225) 664-6697

## Contact information

- **Practice address:** 27090 LA HIGHWAY 16, DENHAM SPRINGS, LA 70726-7811
- **Practice address phone:** (225) 665-5544
- **Practice address fax:** (225) 667-1011
- **Mailing address:** 301 VETERANS BLVD, DENHAM SPRINGS, LA 70726-4722
- **Mailing address phone:** (225) 665-5544
- **Mailing address fax:** (225) 667-1011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | — | — |
| 314000000X | Skilled Nursing Facility | 160 | LA | Yes |

## Other

- **Enumeration date:** 06/13/2006
- **Last updated:** 02/24/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1518158 | — | LA |
