Organization
LAGNIAPPE HEALTHCARE LLC
Active
Other names
Hickory Manor Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES G GLADNEY JR. (MANAGING MEMBER)
(318) 281-0078
Entity
Organization
Contact information
Practice address
370 W HICKORY AVE, BASTROP, LA 71220-4442
(318) 281-6523
(318) 283-1097
Mailing address
1523 TEXAS AVE, BASTROP, LA 71220-4043
(318) 281-0078
(318) 281-2753
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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