# JEFF DAVIS LIVING CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316005861
- **Authorized official:** MRS. CHRISTEL DOUCET (ACCOUNTING BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (337) 824-3165

## Contact information

- **Practice address:** 1338 N CUTTING AVE, JENNINGS, LA 70546-4202
- **Practice address phone:** (337) 824-3165
- **Practice address fax:** (337) 824-3183
- **Mailing address:** PO BOX 757, JENNINGS, LA 70546-0757
- **Mailing address phone:** (337) 824-3165
- **Mailing address fax:** (337) 824-3183

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 744 | LA | — |
| 314000000X | Skilled Nursing Facility | 744 | LA | Yes |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1521167 | — | LA |