Organization
FC2013, L.L.C.
Active
Other names
Ferncrest Manor Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL D. BROWN (MANAGING MEMBER)
(225) 927-4290
Entity
Organization
Contact information
Practice address
14500 HAYNE BLVD, NEW ORLEANS, LA 70128-1751
(225) 927-4290
(225) 927-5385
Mailing address
PO BOX 800, 11429 FERDINAND, SAINT FRANCISVILLE, LA 70775-0800
(225) 927-4290
(225) 927-5385
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1520292
—
LA
Enumeration date
05/20/2013
Last updated
05/20/2013
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