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Organization
CLAIBORNE MANOR NURSING HOME, LLC
Active
Organization
CLAIBORNE MANOR NURSING HOME, LLC
Active
Other names
Claiborne Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE HOWARD (COO/CFO)
(318) 445-6470
Entity
Organization
Contact information
Practice address
6942 HIGHWAY 79 NORTH, HOMER, LA 71040
(318) 927-3586
(318) 927-4656
Mailing address
4333 SHREVEPORT HWY, PINEVILLE, LA 71360
(318) 445-6470
(318) 641-6282
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
928
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1516236
—
LA
Enumeration date
05/17/2006
Last updated
04/22/2013
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