# WESTWOOD MANOR NURSING HOME, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Westwood Manor Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942283361
- **Authorized official:** MR. JACK SANDERS (MANAGING MEMBER)
- **Authorized official phone:** (318) 590-0007

## Contact information

- **Practice address:** 714 HIGH SCHOOL DR, DERIDDER, LA 70634-2808
- **Practice address phone:** (337) 463-6293
- **Practice address fax:** (337) 463-3234
- **Mailing address:** 714 HIGH SCHOOL DR, DERIDDER, LA 70634-2808
- **Mailing address phone:** (337) 463-6293
- **Mailing address fax:** (337) 463-3234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 229 | LA | Yes |

## Other

- **Enumeration date:** 11/21/2005
- **Last updated:** 01/07/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1515175 | — | LA |