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Organization
COMMUNITY CARE CENTER OF HOUMA LLC
Active
Organization
COMMUNITY CARE CENTER OF HOUMA LLC
Active
Other names
Heritage Manor Houma
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONI PARKINSON (AUTHORIZED REPRESENTATIVE)
(601) 709-1408
Entity
Organization
Contact information
Practice address
852 CENTURION LN, HOUMA, LA 70360-5425
(985) 851-2307
(985) 851-6562
Mailing address
852 CENTURION LN, HOUMA, LA 70360-5425
(985) 851-2307
(985) 851-6562
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
781
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521418
—
LA
01
—
31045
BLUE CROSS BLUE SHIELD
LA
Enumeration date
05/04/2006
Last updated
11/30/2024
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