Organization
MAISON DEVILLE OF HOUMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA HEBERT (ASSISTANT ADMINISTRATOR)
(985) 876-3250
Entity
Organization
Contact information
Practice address
107 S HOLLYWOOD RD, HOUMA, LA 70360-2714
(985) 876-3250
(985) 873-0046
Mailing address
107 S HOLLYWOOD RD, HOUMA, LA 70360-2714
(985) 876-3250
(985) 873-0046
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
1518425
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518425
—
LA
Enumeration date
02/23/2016
Last updated
02/23/2016
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