# KENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grand Cove Nursing & Retirement Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518915453
- **Authorized official:** MRS. TONI PARKINSON (AUTHORIZED REPRESENTATIVE)
- **Authorized official phone:** (601) 709-1408

## Contact information

- **Practice address:** 1525 WEST MCNEESE ST, LAKE CHARLES, LA 70605-4291
- **Practice address phone:** (337) 474-6000
- **Practice address fax:** (337) 478-7522
- **Mailing address:** 1525 WEST MCNEESE ST, LAKE CHARLES, LA 70605-4291
- **Mailing address phone:** (337) 474-6000
- **Mailing address fax:** (337) 478-7522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 2203782405 | LA | Yes |

## Other

- **Enumeration date:** 05/04/2006
- **Last updated:** 12/30/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1521469 | — | LA |
| 01 | — | 31060 | BC/BS | LA |