Organization
RACELAND MANOR NURSING HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOB G. DEAN JR. (PRESIDENT)
(225) 343-9152
Entity
Organization
Contact information
Practice address
4302 HIGHWAY 1, RACELAND, LA 70394-3865
(985) 537-3569
(985) 537-3020
Mailing address
4302 HIGHWAY 1, RACELAND, LA 70394-3865
(985) 537-3569
(985) 537-3020
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
162
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52028
—
LA
Enumeration date
01/17/2007
Last updated
08/22/2020
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