Organization
COMMUNITY CARE CENTER OF ST MARTINVILLE LLC
Active
Other names
Landmark of Acadiana
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONI PARKINSON (AUTHORIZED REPRESENTATIVE)
(601) 709-1408
Entity
Organization
Contact information
Practice address
1710 SMEDE HWY, SAINT MARTINVILLE, LA 70582
(337) 394-6044
(337) 394-7044
Mailing address
1710 SMEDE HWY, SAINT MARTINVILLE, LA 70582-7703
(337) 394-6044
(337) 394-7044
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
783
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521442
—
LA
01
—
31058
BLUE CROSS BLUE SHIELD
LA
Enumeration date
05/03/2006
Last updated
11/30/2024
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