# FLEUR DE LIS HEALTHCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Colfax Reunion Nursing and Rehab Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487651360
- **Authorized official:** JAMES P IMHOFF JR. (MANAGER)
- **Authorized official phone:** (225) 784-8190

## Contact information

- **Practice address:** 366 WEBB SMITH DR, COLFAX, LA 71417-1910
- **Practice address phone:** (318) 627-3207
- **Practice address fax:** (318) 627-3220
- **Mailing address:** 366 WEBB SMITH DR, COLFAX, LA 71417-1910
- **Mailing address phone:** (318) 627-3207
- **Mailing address fax:** (318) 627-3220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 195430 | LA | Yes |

## Other

- **Enumeration date:** 07/07/2005
- **Last updated:** 02/10/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 860 | — | LA |