Organization
WEST CARROLL CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEWANA LITTLE (ADMINISTRATOR)
(318) 428-9612
Entity
Organization
Contact information
Practice address
706 ROSS ST, OAK GROVE, LA 71263-9798
(318) 428-9612
(318) 428-6185
Mailing address
706 ROSS ST, OAK GROVE, LA 71263-9798
(318) 428-9612
(318) 428-6185
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
467
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1517747
—
LA
Enumeration date
11/23/2005
Last updated
04/11/2011
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