# SOUTHERN NURSING HOME HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gonzales Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780729004
- **Authorized official:** MR. WILLIAM DICKERSON (MANAGER)
- **Authorized official phone:** (225) 927-5978

## Contact information

- **Practice address:** 8335 KELWOOD AVE, BATON ROUGE, LA 70806-4804
- **Practice address phone:** (225) 927-5978
- **Practice address fax:** (225) 927-5980
- **Mailing address:** 8335 KELWOOD AVE, BATON ROUGE, LA 70806-4804
- **Mailing address phone:** (225) 927-5978
- **Mailing address fax:** (225) 927-5980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 901 | LA | Yes |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 05/14/2012