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Organization
OLLIE STEELE BURDEN MANOR, INC
Active
Organization
OLLIE STEELE BURDEN MANOR, INC
Active
Other names
St. Clare Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD J. SMITH (PRESIDENT)
(225) 216-3604
Entity
Organization
Contact information
Practice address
7435 BISHOP OTT DRIVE, BATON ROUGE, LA 70806-8930
(225) 216-3604
(225) 216-3746
Mailing address
7435 BISHOP OTT DRIVE, BATON ROUGE, LA 70806-8930
(225) 216-3604
(225) 216-3746
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
718
LA
314000000X
Skilled Nursing Facility
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1520969
—
LA
Enumeration date
07/19/2005
Last updated
04/21/2009
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