# SOUTHERN ACRES CARE CENTER, LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southern Acres Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659380004
- **Authorized official:** MS. DAWNE R SMITH (CEO)
- **Authorized official phone:** (318) 812-2140

## Contact information

- **Practice address:** 4600 REDDIX LN, MONROE, LA 71202-5949
- **Practice address phone:** (318) 322-3100
- **Practice address fax:** (318) 323-7482
- **Mailing address:** 4600 REDDIX LN, MONROE, LA 71202-5949
- **Mailing address phone:** (318) 322-3100
- **Mailing address fax:** (318) 323-7482

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 853 | LA | Yes |
| 332BN1400X | Nursing Facility Supplies (DME) | — | LA | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | LA | — |

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 02/14/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1510611 | — | LA |