Organization
RAYNE GUEST HOME INC
Active
Other names
Rayne Guest Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TREVOR HAIR (ADMINISTRATOR)
(337) 334-5111
Entity
Organization
Contact information
Practice address
308 AMELIA ST, RAYNE, LA 70578-5637
(337) 334-5111
(337) 334-9569
Mailing address
PO BOX 54, 308 AMELIA ST, RAYNE, LA 70578-5637
(337) 334-5111
(337) 334-9569
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
256
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1512591
—
LA
05
—
1548715
—
LA
01
—
30570
BLUECROSS BLUE SHIELD
LA
Enumeration date
10/12/2005
Last updated
05/06/2008
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