# DIVERSIFIED HEALTHCARE ABBEVILLE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Maison du Monde Living Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356490049
- **Authorized official:** MR. AL BREAUX JR. NFA (ADMINISTRATOR)
- **Authorized official phone:** (337) 892-2332

## Contact information

- **Practice address:** 4000 RODEO RD., ABBEVILLE, LA 70510
- **Practice address phone:** (337) 892-2332
- **Practice address fax:** (337) 893-5438
- **Mailing address:** 4000 RODEO RD., ABBEVILLE, LA 70510
- **Mailing address phone:** (337) 892-2332
- **Mailing address fax:** (337) 893-5438

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 891 | LA | Yes |

## Other

- **Enumeration date:** 01/10/2007
- **Last updated:** 09/13/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1521876 | — | LA |
