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Organization
FC2013, L.L.C.
Active
Organization
FC2013, L.L.C.
Active
Other names
Ferncrest Manor Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL D. BROWN (MANAGING MEMBER)
(225) 927-4290
Entity
Organization
Contact information
Practice address
14500 HAYNE BLVD, NEW ORLEANS, LA 70128-1751
(225) 927-4290
(225) 927-5385
Mailing address
PO BOX 800, 11429 FERDINAND, SAINT FRANCISVILLE, LA 70775-0800
(225) 927-4290
(225) 927-5385
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1520292
—
LA
Enumeration date
05/20/2013
Last updated
05/20/2013
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