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Organization
EHO2002, LLC
Active
Organization
EHO2002, LLC
Active
Other names
EASTHAVEN CARE AND REHABILITATION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY MIX (CHIEF FINANCIAL OFFICER)
(225) 927-4290
Entity
Organization
Contact information
Practice address
9660 LAKE FOREST BLVD, NEW ORLEANS, LA 70127-2619
(504) 244-9013
(504) 241-5330
Mailing address
3049 S SHERWOOD FOREST BLVD, SUITE 200, BATON ROUGE, LA 70816-2277
(225) 927-4290
(225) 927-5385
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510408
—
LA
Enumeration date
07/18/2005
Last updated
08/22/2020
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