# CLAIBORNE MANOR NURSING HOME, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Claiborne Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851343529
- **Authorized official:** MRS. NICOLE HOWARD (COO/CFO)
- **Authorized official phone:** (318) 445-6470

## Contact information

- **Practice address:** 6942 HIGHWAY 79 NORTH, HOMER, LA 71040
- **Practice address phone:** (318) 927-3586
- **Practice address fax:** (318) 927-4656
- **Mailing address:** 4333 SHREVEPORT HWY, PINEVILLE, LA 71360
- **Mailing address phone:** (318) 445-6470
- **Mailing address fax:** (318) 641-6282

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 928 | LA | Yes |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 04/22/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1516236 | — | LA |