# HOSPITAL SERVICE DISTRICT \# 2 OF LASALLE PARISH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LaSalle Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215921200
- **Authorized official:** MR. WILLIAM JOHN NUNNALLY III (ADMINISTRATOR)
- **Authorized official phone:** (318) 992-6627

## Contact information

- **Practice address:** 139 9TH ST, JENA, LA 71342-1510
- **Practice address phone:** (318) 992-6627
- **Practice address fax:** (318) 992-9288
- **Mailing address:** PO DRAWER 1510, 139 9TH ST, JENA, LA 71342-1510
- **Mailing address phone:** (318) 992-6627
- **Mailing address fax:** (318) 992-9288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 785 | LA | Yes |

## Other

- **Enumeration date:** 09/06/2005
- **Last updated:** 05/13/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1510009 | — | LA |
| 01 | — | 30157 | BCBS | LA |