# RACELAND MANOR NURSING HOME, INC.

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

## Provider details

- **NPI number:** 1427100890
- **Authorized official:** MR. BOB G. DEAN JR. (PRESIDENT)
- **Authorized official phone:** (225) 343-9152

## Contact information

- **Practice address:** 4302 HIGHWAY 1, RACELAND, LA 70394-3865
- **Practice address phone:** (985) 537-3569
- **Practice address fax:** (985) 537-3020
- **Mailing address:** 4302 HIGHWAY 1, RACELAND, LA 70394-3865
- **Mailing address phone:** (985) 537-3569
- **Mailing address fax:** (985) 537-3020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 162 | LA | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 52028 | — | LA |