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Organization
VILLA FELICIANA MEDICAL COMPLEX
Active
Organization
VILLA FELICIANA MEDICAL COMPLEX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES R O REAR (LONG TERM CARE ADMIN)
(225) 634-4017
Entity
Organization
Contact information
Practice address
5002 HWY 10, JACKSON, LA 70748-0438
(225) 634-4017
Mailing address
PO BOX 438, JACKSON, LA 70748-0438
(225) 634-4017
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
233
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195150
MEDICARE SKILLED - ECF
LA
Enumeration date
05/22/2008
Last updated
06/19/2008
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