Organization
BROWN DEVELOPMENT, LLC
Active
Other names
The Olive Branch Senior Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY JANE EILAND NFA (ADMINISTRATOR)
(318) 574-8111
Entity
Organization
Contact information
Practice address
32 CROTHERS DR, TALLULAH, LA 71282-5510
(318) 574-8111
(318) 574-4691
Mailing address
32 CROTHERS DR, TALLULAH, LA 71282-5510
(318) 574-8111
(318) 574-4691
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
234
LA
332BN1400X
Nursing Facility Supplies (DME)
234
LA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
234
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1512346
—
LA
01
—
31282
BLUE CROSS BLUE SHIELD
LA
Enumeration date
09/13/2005
Last updated
08/11/2008
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