Organization
DHC OPCO-PINEVILLE, LLC
Active
Other names
St. Christina Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRADFORD M COHEN (MANAGING MEMBER)
(337) 456-8500
Entity
Organization
Contact information
Practice address
122 HILLSDALE DR, PINEVILLE, LA 71360-6856
(318) 448-0141
(318) 448-9772
Mailing address
210 MAGNATE DR STE 100, LAFAYETTE, LA 70508-3871
(337) 456-8500
(318) 448-9772
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
888
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510939
—
LA
Enumeration date
01/31/2014
Last updated
06/19/2020
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