# SOUTHEAST LOUISIANA VETERANS HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southeast Louisiana War Veterans Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770635211
- **Authorized official:** MR. CLEVELAND J OBEY JR. (LTC ADMINISTRATOR)
- **Authorized official phone:** (985) 479-4080

## Contact information

- **Practice address:** 4080 W AIRLINE HWY, RESERVE, LA 70084-5712
- **Practice address phone:** (985) 479-4080
- **Practice address fax:** (985) 479-4090
- **Mailing address:** 4080 W AIRLINE HWY, RESERVE, LA 70084-5712
- **Mailing address phone:** (985) 479-4080
- **Mailing address fax:** (985) 479-4090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282E00000X | Long Term Care Hospital | — | LA | — |
| 314000000X | Skilled Nursing Facility | — | LA | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 02/23/2017
