Organization
RURAL HEALTHCARE DEVELOPERS OF LOUISIANA LLC
Active
Other names
SCMH Swing Bed
Organization subpart
No
Provider details
NPI number
Authorized official
RAY SHOEMAKER (CEO)
(662) 321-1155
Entity
Organization
Contact information
Practice address
5360 W CREOLE HWY, CAMERON, LA 70631-5127
(337) 542-4111
(337) 542-4110
Mailing address
5360 W CREOLE HWY, CAMERON, LA 70631-5127
(337) 542-4111
(337) 542-4110
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510874
—
LA
Enumeration date
12/19/2008
Last updated
12/19/2008
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