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Organization
SOUTHERN ACRES CARE CENTER, LP
Active
Organization
SOUTHERN ACRES CARE CENTER, LP
Active
Other names
Southern Acres Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAWNE R SMITH (CEO)
(318) 812-2140
Entity
Organization
Contact information
Practice address
4600 REDDIX LN, MONROE, LA 71202-5949
(318) 322-3100
(318) 323-7482
Mailing address
4600 REDDIX LN, MONROE, LA 71202-5949
(318) 322-3100
(318) 323-7482
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
853
LA
332BN1400X
Nursing Facility Supplies (DME)
—
LA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510611
—
LA
Enumeration date
08/05/2006
Last updated
02/14/2014
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