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Organization
MER ROUGE COMMUNITY SERVICE INC
Active
Organization
MER ROUGE COMMUNITY SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA MICHELLE REYNOLDS (BILLING BOOKKEEPING)
(318) 647-3691
Entity
Organization
Contact information
Practice address
1400 DAVENPORT AVE, MER ROUGE, LA 71261-0263
(318) 647-3691
(318) 647-3743
Mailing address
PO BOX 263, MER ROUGE, LA 71261-0263
(318) 647-3691
(318) 647-3743
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1557871
—
LA
Enumeration date
07/02/2008
Last updated
09/23/2008
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