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Organization
ACADIA ST LANDRY GUEST HOME, INC
Active
Organization
ACADIA ST LANDRY GUEST HOME, INC
Active
Other names
Acadia St. Landry Guest Home
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN HENSGENS (ADMINISTRATOR)
(337) 684-6316
Entity
Organization
Contact information
Practice address
830 S BROADWAY ST, CHURCH POINT, LA 70525-4402
(337) 684-6316
(337) 684-6315
Mailing address
830 S BROADWAY ST, CHURCH POINT, LA 70525-4402
(337) 684-6316
(337) 684-6315
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
356
LA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1514667
—
LA
05
—
1566462
—
LA
01
—
30884
BLUECROSS BLUESHIELD
LA
Enumeration date
11/17/2005
Last updated
08/14/2008
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