Organization
RURAL HEALTHCARE DEVELOPERS OF LOUISIANA LLC
Active
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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