# CHATEAU LIVING CENTER, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Chateau Living Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659370989
- **Authorized official:** MR. JOHN ROBERT LASTER (ADMINISTRATOR)
- **Authorized official phone:** (504) 464-0604

## Contact information

- **Practice address:** 716 VILLAGE RD, KENNER, LA 70065-2751
- **Practice address phone:** (504) 464-0604
- **Practice address fax:** (504) 464-0808
- **Mailing address:** 716 VILLAGE RD, KENNER, LA 70065-2751
- **Mailing address phone:** (504) 464-0604
- **Mailing address fax:** (504) 464-0808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 716 | LA | Yes |

## Other

- **Enumeration date:** 07/19/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1521302 | — | LA |
| 01 | — | 4706520001 | ENTERAL | LA |