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Organization
TANGI PINES SENIOR CARE, L.L.C
Active
Organization
TANGI PINES SENIOR CARE, L.L.C
Active
Other names
Tangi Pines Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KALEY W HILL (ADMINISTRATOR)
(985) 748-9464
Entity
Organization
Contact information
Practice address
709 E NORTH PL, AMITE, LA 70422-2307
(985) 748-9464
(985) 748-4404
Mailing address
10746 HWY 16, AMITE, LA 70422
(985) 748-9464
(985) 748-4404
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
834
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
834
DHH LICENSE
LA
Enumeration date
04/14/2016
Last updated
10/03/2021
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