Organization
NORTHRIDGE CARE CENTER LLC
Active
Other names
Northridge Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE HOWARD (C.F.O.)
(318) 445-6470
Entity
Organization
Contact information
Practice address
3612 BAKER BLVD, BAKER, LA 70714-2513
(225) 778-0573
Mailing address
PO BOX 8055, ALEXANDRIA, LA 71306-1055
(318) 445-6470
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/15/2009
Last updated
12/07/2009
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