# ROSEWOOD NURSING CENTER LLC

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

## Provider details

- **NPI number:** 1609876192
- **Authorized official:** JOSEPH C TUTERA (MANAGER)
- **Authorized official phone:** (181) 644-4090

## Contact information

- **Practice address:** 534 15TH ST, LAKE CHARLES, LA 70601-7336
- **Practice address phone:** (337) 439-8338
- **Practice address fax:** (337) 310-8268
- **Mailing address:** 534 15TH ST, LAKE CHARLES, LA 70601-7336
- **Mailing address phone:** (337) 439-8338
- **Mailing address fax:** (337) 310-8268

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 422 | LA | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | 422 | LA | — |

## Other

- **Enumeration date:** 07/26/2005
- **Last updated:** 04/19/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1516325 | — | LA |