Organization
HOSPITAL SERVICE DISTRICT # 2 OF LASALLE PARISH
Active
Other names
LaSalle Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM JOHN NUNNALLY III (ADMINISTRATOR)
(318) 992-6627
Entity
Organization
Contact information
Practice address
139 9TH ST, JENA, LA 71342-1510
(318) 992-6627
(318) 992-9288
Mailing address
PO DRAWER 1510, 139 9TH ST, JENA, LA 71342-1510
(318) 992-6627
(318) 992-9288
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
785
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510009
—
LA
01
—
30157
BCBS
LA
Enumeration date
09/06/2005
Last updated
05/13/2008
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