# ACADIAN 4005 TENANT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Acadian Nursing - Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275537136
- **Authorized official:** MR. ALEX PALEY (COO)
- **Authorized official phone:** (914) 390-4363

## Contact information

- **Practice address:** 4005 NORTH BLVD, BATON ROUGE, LA 70806-3830
- **Practice address phone:** (225) 387-5934
- **Practice address fax:** (225) 387-6122
- **Mailing address:** 4005 NORTH BLVD, BATON ROUGE, LA 70806-3830
- **Mailing address phone:** (225) 387-5934

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 264 | LA | Yes |

## Other

- **Enumeration date:** 06/09/2005
- **Last updated:** 02/11/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1520772 | — | LA |