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Organization
PONTCHARTRAIN GUEST HOUSE INC
Active
Organization
PONTCHARTRAIN GUEST HOUSE INC
Active
Other names
PONTCHARTRAIN HEALTH CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARY LYNN LEACH (CHIEF FINANCIAL OFFICER)
(985) 626-1900
Entity
Organization
Contact information
Practice address
1401 FLORIDA ST, MANDEVILLE, LA 70448-5433
(985) 626-8581
(985) 624-9478
Mailing address
PO BOX 338, MANDEVILLE, LA 70470-0338
(985) 626-1900
(985) 727-9660
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
312
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1513784
—
LA
Enumeration date
08/24/2006
Last updated
03/29/2012
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