Organization
CONCORDIA NURSING HOME INC
Active
Other names
Tensas Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA LOUISE ELLIS (MANAGING MEMBER)
(601) 304-0980
Entity
Organization
Contact information
Practice address
323 HIGHLAND BLVD, NATCHEZ, MS 39120-4635
(601) 304-0980
(601) 304-1155
Mailing address
901 VERONA STREET, NEWELLTON, LA 71357
(318) 467-5117
(318) 467-9716
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
302
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1517976
—
LA
Enumeration date
08/06/2009
Last updated
08/06/2009
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