# GRACE NURSING HOME INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grace Health and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861488751
- **Authorized official:** MR. SIDNEY D SAINT NFA (ADMINISTRATOR)
- **Authorized official phone:** (225) 683-8533

## Contact information

- **Practice address:** 9725 GRACE LN, CLINTON, LA 70722-4925
- **Practice address phone:** (225) 683-8533
- **Practice address fax:** (225) 683-3222
- **Mailing address:** PO BOX 945, CLINTON, LA 70722-0945
- **Mailing address phone:** (225) 683-8533
- **Mailing address fax:** (225) 683-3222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 370 | LA | — |
| 314000000X | Skilled Nursing Facility | 370 | LA | Yes |

## Other

- **Enumeration date:** 09/26/2005
- **Last updated:** 07/16/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1515094 | — | LA |
| 01 | — | 33857 | BLUE CROSS BLUE SHIELD LA | LA |