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Organization
COMMCARE CORPORATION
Active
Organization
COMMCARE CORPORATION
Active
Parent organization
COMMCARE CORPORATION
Other names
Old Brownlee Community Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMCARE CORPORATION
Authorized official
DAWN H PSARELLIS (VP, CHIEF ADMINISTRATIVE OFFICER)
(504) 324-8950
Entity
Organization
Contact information
Practice address
4680 OLD BROWNLEE ROAD, BOSSIER CITY, LA 71111
(318) 326-4259
Mailing address
4680 OLD BROWNLEE ROAD, BOSSIER CITY, LA 71111
(318) 553-5950
(318) 553-5952
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
249
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518506
—
LA
Enumeration date
06/04/2006
Last updated
03/09/2021
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