Organization
COMMCARE CORPORATION
Active
Other names
Wynhoven Community Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN HARVEY PSARELLIS (VP, CAO)
(504) 324-8950
Entity
Organization
Contact information
Practice address
1050 MEDICAL CENTER BLVD, MARRERO, LA 70072-3144
(504) 347-0777
(504) 341-7240
Mailing address
950 W CAUSEWAY APPROACH, MANDEVILLE, LA 70471-3082
(504) 324-8950
(985) 624-3477
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1517313
—
LA
Enumeration date
08/03/2005
Last updated
06/30/2023
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