# MEADOWCREST LIVING CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518964725
- **Authorized official:** MR. STEPHEN W YANCOVICH NFA (ADMINISTRATOR)
- **Authorized official phone:** (504) 393-9595

## Contact information

- **Practice address:** 535 COMMERCE ST, GRETNA, LA 70056-7316
- **Practice address phone:** (504) 393-9595
- **Mailing address:** 535 COMMERCE ST, GRETNA, LA 70056-7316
- **Mailing address phone:** (504) 393-9595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 752 | LA | Yes |

## Other

- **Enumeration date:** 07/01/2005
- **Last updated:** 08/22/2020