Organization
WYATT MANOR NURSING & REHABILITATION CENTER, INC.
Active
Other names
Wyatt 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
4659 HIGHWAY 505, JONESBORO, LA 71251-5891
(318) 259-2814
(318) 259-8439
Mailing address
PO BOX 279, JONESBORO, LA 71251-0279
(318) 259-2814
(318) 259-8439
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
151
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19E202
—
LA
Enumeration date
11/07/2005
Last updated
09/12/2024
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