# WYNHOVEN HEALTHCARE CENTER

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

## Provider details

- **NPI number:** 1477720456
- **Authorized official:** JANE FOCKLER (ADMINISTRATOR)
- **Authorized official phone:** (504) 347-0777

## Contact information

- **Practice address:** 1050 MEDICAL CENTER BLVD, MARRERO, LA 70072-3144
- **Practice address phone:** (504) 347-0777
- **Mailing address:** 1050 MEDICAL CENTER BLVD, MARRERO, LA 70072-3144
- **Mailing address phone:** (504) 347-0777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 454 | LA | Yes |

## Other

- **Enumeration date:** 05/09/2008
- **Last updated:** 05/09/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1378577 | — | LA |