Organization
DIVERSIFIED HEALTHCARE ABBEVILLE, LLC
Active
Other names
Maison du Monde Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AL BREAUX JR. NFA (ADMINISTRATOR)
(337) 892-2332
Entity
Organization
Contact information
Practice address
4000 RODEO RD., ABBEVILLE, LA 70510
(337) 892-2332
(337) 893-5438
Mailing address
4000 RODEO RD., ABBEVILLE, LA 70510
(337) 892-2332
(337) 893-5438
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
891
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521876
—
LA
Enumeration date
01/10/2007
Last updated
09/13/2007
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