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Organization
VILLA FELICIANA MEDICAL COMPLEX
Active
Organization
VILLA FELICIANA MEDICAL COMPLEX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES R. O'REAR (LONG TERM CARE HOSPITAL ADMIN.)
(225) 634-4017
Entity
Organization
Contact information
Practice address
5002 HWY 10, JACKSON, LA 70748
(225) 634-4017
(225) 634-4191
Mailing address
5002 HIGHWAY 10, JACKSON, LA 70748-0438
(225) 634-4017
(225) 634-4191
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118326
LAB
LA
05
—
1551465
—
LA
01
—
1734641
HOSPITAL
LA
01
—
5CF42
MEDICARE PART B
LA
01
—
5CK77
X-RAY
LA
Enumeration date
01/10/2007
Last updated
05/06/2008
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