# CLAIBORNE OPERATOR GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Claiborne Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699225813
- **Authorized official:** DAWNE R SMITH (MANAGING MEMBER)
- **Authorized official phone:** (318) 812-2140

## Contact information

- **Practice address:** 6942 HIGHWAY 79, HOMER, LA 71040-2023
- **Practice address phone:** (318) 972-3586
- **Practice address fax:** (318) 927-4656
- **Mailing address:** 101 N 2ND ST, 200, WEST MONROE, LA 71291-3266
- **Mailing address phone:** (318) 972-3586
- **Mailing address fax:** (318) 927-4656

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 2203782944 | LA | Yes |

## Other

- **Enumeration date:** 10/12/2016
- **Last updated:** 11/14/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1516236 | — | LA |