Organization
MAISON DE'VILLE NURSING HOME OF HARVEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOB G. DEAN JR. (MANAGING MEMBER)
(225) 343-9152
Entity
Organization
Contact information
Practice address
2233 8TH ST, HARVEY, LA 70058-4005
(504) 362-9522
(504) 368-4118
Mailing address
2233 8TH ST, HARVEY, LA 70058-4005
(504) 362-9522
(504) 368-4118
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
699
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52069
—
LA
Enumeration date
01/17/2007
Last updated
08/22/2020
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