Organization
JEFFERSON MANOR NURSING & REHAB CNTR LLC
Active
Other names
Jefferson Manor Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TEDDY RAY PRICE (MANAGING MEMBER)
(318) 628-4116
Entity
Organization
Contact information
Practice address
9919 JEFFERSON HWY, BATON ROUGE, LA 70809-2769
(225) 293-1434
(225) 291-3254
Mailing address
9919 JEFFERSON HWY, BATON ROUGE, LA 70809-2769
(225) 293-1434
(225) 291-3254
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
751
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521213
—
LA
Enumeration date
11/07/2005
Last updated
09/12/2024
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