Organization
ARBOR LAKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN TERRELL (NSA)
(318) 368-3103
Entity
Organization
Contact information
Practice address
1155 STERLINGTON HWY, FARMERVILLE, LA 71241-3811
(318) 368-3103
(318) 368-0301
Mailing address
1155 STERLINGTON HWY, FARMERVILLE, LA 71241-3811
(318) 368-3103
(318) 368-0301
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
314000000X
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195459
MEDICARE PTAN
LA
Enumeration date
04/24/2014
Last updated
04/24/2014
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