Organization
LAKEVIEW MANOR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MELVIN J HARRIS (OWNER CEO)
(318) 253-6536
Entity
Organization
Contact information
Practice address
400 HOSPITAL RD, NEW ROADS, LA 70760-2623
(225) 638-4404
(225) 638-8607
Mailing address
PO BOX 320, NEW ROADS, LA 70760-0320
(225) 638-4404
(225) 638-8607
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
379
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1515442
—
LA
Enumeration date
11/11/2005
Last updated
08/09/2007
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