# LOUISIANA GUEST HOUSE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Camelot Place
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851341051
- **Authorized official:** JAMES E RICHARDSON (CEO)
- **Authorized official phone:** (318) 445-6470

## Contact information

- **Practice address:** 2021 CROWLEY RAYNE HIGHWAY, RAYNE, LA 70578
- **Practice address phone:** (337) 783-8101
- **Practice address fax:** (337) 783-9476
- **Mailing address:** PO BOX 8055, ALEXANDRIA, LA 71306-1055
- **Mailing address phone:** (318) 445-6470
- **Mailing address fax:** (318) 445-6422

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 921 | LA | Yes |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1517658 | — | LA |