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Organization
4005 BR SNF, LLC
Active
Organization
4005 BR SNF, LLC
Active
Other names
Mid City Community Nursing and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK MITCHELL (MANAGER)
(225) 368-3181
Entity
Organization
Contact information
Practice address
4005 NORTH BLVD, BATON ROUGE, LA 70806-3830
(225) 923-7280
(225) 387-5939
Mailing address
10615 JEFFERSON HWY, BATON ROUGE, LA 70809-7230
(225) 368-3181
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
10/05/2020
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