Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PRAIRIE MANOR, INC.
Active
Organization
PRAIRIE MANOR, INC.
Active
Other names
Prairie Manor Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA BOOK (ADMINISTRATOR)
(337) 599-2031
Entity
Organization
Contact information
Practice address
1050 EDWIN ELLIOTT DR., PINE PRAIRIE, LA 70576
(337) 599-2031
(337) 599-2548
Mailing address
PO BOX 500, 1050 EDWIN ELLIOT DR., PINE PRAIRIE, LA 70576-0500
(337) 599-2031
(337) 599-2548
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
452
LA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19E379
—
LA
Enumeration date
11/22/2005
Last updated
12/10/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers