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Organization

CAMELOT PLACE LLC

Active
Other names
Camelot Place
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE HOWARD (C.F.O. / C.O.O.)
(318) 641-3717
Entity
Organization

Contact information

Practice address
2021 CROWLEY RAYNE HWY, RAYNE, LA 70578-4027
(337) 783-8101
(888) 641-3781
Mailing address
4333 SHREVEPORT HWY, PINEVILLE, LA 71360-3828
(318) 445-6470
(318) 641-6282

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
11/05/2012
Last updated
11/05/2012
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