Organization
RESTHAVEN LIVING CENTER LLC
Active
Other names
RESTHAVEN LIVING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN BUTLER (MANAGER)
(985) 732-3909
Entity
Organization
Contact information
Practice address
1301 HARRISON ST, BOGALUSA, LA 70427-1711
(985) 732-3909
(985) 735-7451
Mailing address
1301 HARRISON ST, BOGALUSA, LA 70427-1711
(985) 732-3909
(985) 735-7451
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
29
LA
Other
Enumeration date
06/02/2006
Last updated
09/27/2007
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