# NATCHITOCHES NURSING AND REHABILITATION CENTER, LLC

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

## Provider details

- **NPI number:** 1881769883
- **Authorized official:** MR. NORBERT A BENNETT (CO-CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (716) 662-4955

## Contact information

- **Practice address:** 750 KEYSER AVE, NATCHITOCHES, LA 71457-6043
- **Practice address phone:** (318) 352-8779
- **Practice address fax:** (318) 352-8910
- **Mailing address:** PO BOX 428, ORCHARD PARK, NY 14127-0428
- **Mailing address phone:** (716) 662-4955
- **Mailing address fax:** (716) 667-9230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 902 | LA | Yes |

## Other

- **Enumeration date:** 11/22/2006
- **Last updated:** 12/11/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1522180 | — | LA |