Organization
SPECIALTY EXTENDED CARE HOSPITAL OF MONROE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GACHASSIN III (EVP/SECRETARY)
(337) 233-1307
Entity
Organization
Contact information
Practice address
309 JACKSON ST FL 3, MONROE, LA 71201-7407
(318) 966-4126
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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