# CONCORDIA NURSING HOME, INC. DBA: TENSAS HEALTHCARE

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

## Provider details

- **NPI number:** 1629205471
- **Authorized official:** MRS. TINA L ELLIS (DIRECTOR OF FINANCIAL OPERATIONS)
- **Authorized official phone:** (601) 304-0980

## Contact information

- **Practice address:** 6818 HIGHWAY 84, FERRIDAY, LA 71334-5101
- **Practice address phone:** (318) 467-5117
- **Practice address fax:** (318) 467-9716
- **Mailing address:** 6818 HIGHWAY 84, FERRIDAY, LA 71334-5101
- **Mailing address phone:** (318) 467-5117
- **Mailing address fax:** (318) 467-9716

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 302 | LA | Yes |

## Other

- **Enumeration date:** 06/19/2009
- **Last updated:** 06/19/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1517976 | — | LA |