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Organization
COMMCARE CORPORATION
Active
Organization
COMMCARE CORPORATION
Active
Other names
Ridgecrest Rehabilitation & Retirement Center, Ridgecrest Community Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN HARVEY PSARELLIS (VICE PRESIDENT, CAO)
(504) 324-8950
Entity
Organization
Contact information
Practice address
1616 WELLERMAN RD, WEST MONROE, LA 71291-7427
(318) 387-2577
(318) 325-8662
Mailing address
1616 WELLERMAN RD, WEST MONROE, LA 71291-7427
(318) 387-2577
(318) 325-8662
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
156
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1520217
—
LA
01
—
34421
BLUE CROSS BLUE SHIELD
LA
Enumeration date
05/03/2006
Last updated
02/18/2021
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