# CUTTING EDGE HEALTHCARE

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

## Provider details

- **NPI number:** 1417232307
- **Authorized official:** DR. WILLIAM LUCKY MD (COLLABORATING PHYSICIAN)
- **Authorized official phone:** (813) 952-8296

## Contact information

- **Practice address:** 5316 TRENTS PL, BATON ROUGE, LA 70817-1332
- **Practice address phone:** (225) 615-7050
- **Mailing address:** 5316 TRENTS PL, BATON ROUGE, LA 70817-1332
- **Mailing address phone:** (225) 615-7050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) | RN106698-AP06667 | LA | — |
| 314000000X | Skilled Nursing Facility | RN106698-AP06667 | LA | Yes |

## Other

- **Enumeration date:** 10/11/2011
- **Last updated:** 10/11/2011