Organization
JEFF DAVIS LIVING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTEL DOUCET (ACCOUNTING BUSINESS OFFICE MANAGER)
(337) 824-3165
Entity
Organization
Contact information
Practice address
1338 N CUTTING AVE, JENNINGS, LA 70546-4202
(337) 824-3165
(337) 824-3183
Mailing address
PO BOX 757, JENNINGS, LA 70546-0757
(337) 824-3165
(337) 824-3183
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
744
LA
314000000X
Skilled Nursing Facility
Primary
744
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521167
—
LA
Enumeration date
12/05/2006
Last updated
09/11/2025
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