# RAYNE GUEST HOME INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871750356
- **Authorized official:** MR. TREVOR T HAIR (ADMINISTRATOR)
- **Authorized official phone:** (337) 334-5111

## Contact information

- **Practice address:** 308 AMELIA ST, RAYNE, LA 70578-5637
- **Practice address phone:** (337) 334-5111
- **Practice address fax:** (337) 334-8869
- **Mailing address:** 308 AMELIA ST, RAYNE, LA 70578-5637
- **Mailing address phone:** (337) 334-5111
- **Mailing address fax:** (337) 334-8869

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 256 | LA | Yes |

## Other

- **Enumeration date:** 05/21/2008
- **Last updated:** 05/21/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1548715 | — | LA |