Organization
LANDMARK HERITAGE LLC
Active
Other names
Landmark of Baton Rouge
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONI PARKINSON (AUTHORIZED REPRESENTATIVE)
(601) 709-1408
Entity
Organization
Contact information
Practice address
9105 OXFORD PLACE DRIVE, BATON ROUGE, LA 70809-2587
(225) 293-1003
(225) 293-1023
Mailing address
9105 OXFORD PLACE DRIVE, BATON ROUGE, LA 70809-2587
(225) 293-1003
(225) 293-1023
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
789
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521485
—
LA
01
—
30553
BLUE CROSS BLUE SHIELD LA
LA
Enumeration date
05/04/2006
Last updated
11/30/2024
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