# OLLIE STEELE BURDEN MANOR, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Clare Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972502185
- **Authorized official:** MR. EDWARD J. SMITH (PRESIDENT)
- **Authorized official phone:** (225) 216-3604

## Contact information

- **Practice address:** 7435 BISHOP OTT DRIVE, BATON ROUGE, LA 70806-8930
- **Practice address phone:** (225) 216-3604
- **Practice address fax:** (225) 216-3746
- **Mailing address:** 7435 BISHOP OTT DRIVE, BATON ROUGE, LA 70806-8930
- **Mailing address phone:** (225) 216-3604
- **Mailing address fax:** (225) 216-3746

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 718 | LA | Yes |
| 314000000X | Skilled Nursing Facility | — | — | — |
| 332BN1400X | Nursing Facility Supplies (DME) | — | — | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | — | — | — |

## Other

- **Enumeration date:** 07/19/2005
- **Last updated:** 04/21/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1520969 | — | LA |