# LULING LIVING CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730284811
- **Authorized official:** MR. CLINT PAUL GUILLOT (OWNER/MEMBER)
- **Authorized official phone:** (225) 644-4853

## Contact information

- **Practice address:** 1125 PAUL MAILLARD RD, LULING, LA 70070-4351
- **Practice address phone:** (985) 785-8271
- **Practice address fax:** (985) 785-9944
- **Mailing address:** 1039 E HIGHWAY 30, GONZALES, LA 70737-4757
- **Mailing address phone:** (225) 644-4853
- **Mailing address fax:** (225) 647-9658

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 810 | LA | Yes |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1510181 | — | LA |