Organization
MERRYVILLE NURSING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY MIZE (ADMINISTRATOR)
(337) 825-6181
Entity
Organization
Contact information
Practice address
900 N BRYAN ST, MERRYVILLE, LA 70653-3302
(337) 825-6181
(337) 825-2007
Mailing address
900 N BRYAN ST, P.O. BOX 820, MERRYVILLE, LA 70653-3302
(337) 825-6181
(337) 825-2007
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
881
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510025
—
LA
Enumeration date
01/23/2007
Last updated
02/02/2009
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