# JENA NURSING AND REHABILITATION CENTER LLC

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

## Provider details

- **NPI number:** 1316255177
- **Authorized official:** MR. NORBERT BENNETT (MANAGER)
- **Authorized official phone:** (716) 662-4955

## Contact information

- **Practice address:** 5877 AIMWELL RD, JENA, LA 71342-6001
- **Practice address phone:** (318) 992-4175
- **Practice address fax:** (318) 992-4177
- **Mailing address:** PO BOX 428, ORCHARD PARK, NY 14127-0428
- **Mailing address phone:** (716) 662-4955
- **Mailing address fax:** (716) 667-9230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 481 | LA | Yes |

## Other

- **Enumeration date:** 09/15/2010
- **Last updated:** 12/11/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1520250 | — | LA |