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Organization
BAYOU VISTA NURSING AND REHAB CENTER
Active
Organization
BAYOU VISTA NURSING AND REHAB CENTER
Active
Other names
Bayou Vista Nursing and Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP BONNETTE PEPITON (MANAGER/MEMBER)
(318) 922-3404
Entity
Organization
Contact information
Practice address
323 EVERGREEN ST, BUNKIE, LA 71322-1307
(318) 346-2080
(318) 346-7879
Mailing address
PO BOX 270, BUNKIE, LA 71322-0270
(318) 346-2080
(318) 346-7879
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1511994
—
LA
Enumeration date
12/15/2011
Last updated
01/18/2022
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