# MARY ANNA NURSING HOME INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mary Anna Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871586164
- **Authorized official:** MRS. CANDACE BATEY SANDERS (ADMINISTRATOR)
- **Authorized official phone:** (318) 724-7244

## Contact information

- **Practice address:** 125 TURNER STREET, WISNER, LA 71378-0776
- **Practice address phone:** (318) 724-7244
- **Practice address fax:** (318) 724-7244
- **Mailing address:** PO BOX 776, WISNER, LA 71378-0776
- **Mailing address phone:** (318) 724-7244
- **Mailing address fax:** (318) 724-6698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 330 | LA | Yes |

## Other

- **Enumeration date:** 08/23/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1514039 | — | LA |
