# CHRISTIAN VILLA NURSING HOME

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

## Provider details

- **NPI number:** 1386628220
- **Authorized official:** WILLIE MAYNARD JR. (ADMINISTRATOR)
- **Authorized official phone:** (337) 783-5533

## Contact information

- **Practice address:** 1120 W HUTCHINSON AVE, CROWLEY, LA 70526-4124
- **Practice address phone:** (337) 783-5533
- **Practice address fax:** (337) 785-2219
- **Mailing address:** PO BOX 540, CROWLEY, LA 70527-0540
- **Mailing address phone:** (337) 783-5533
- **Mailing address fax:** (337) 785-2219

## Taxonomy

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

## Other

- **Enumeration date:** 12/05/2005
- **Last updated:** 08/22/2020