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Organization
GRACE NURSING HOME INC
Active
Organization
GRACE NURSING HOME INC
Active
Other names
Grace Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIDNEY D SAINT NFA (ADMINISTRATOR)
(225) 683-8533
Entity
Organization
Contact information
Practice address
9725 GRACE LN, CLINTON, LA 70722-4925
(225) 683-8533
(225) 683-3222
Mailing address
PO BOX 945, CLINTON, LA 70722-0945
(225) 683-8533
(225) 683-3222
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
370
LA
314000000X
Skilled Nursing Facility
Primary
370
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1515094
—
LA
01
—
33857
BLUE CROSS BLUE SHIELD LA
LA
Enumeration date
09/26/2005
Last updated
07/16/2007
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