# CONCORDIA NURSING HOME INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CAMELOT LEISURE LIVING
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639116056
- **Authorized official:** MS. JACQUELINE D SCHAUF (ADMINISTRATOR)
- **Authorized official phone:** (318) 757-2181

## Contact information

- **Practice address:** 6818 HIGHWAY 84, FERRIDAY, LA 71334-5101
- **Practice address phone:** (318) 757-2181
- **Practice address fax:** (318) 757-7918
- **Mailing address:** 6818 HIGHWAY 84, FERRIDAY, LA 71334-5101
- **Mailing address phone:** (318) 757-2181
- **Mailing address fax:** (318) 757-7918

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 164 | LA | Yes |

## Other

- **Enumeration date:** 06/02/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1520136 | — | LA |