Organization
FLEUR DE LIS HEALTHCARE, LLC
Active
Other names
Colfax Reunion Nursing and Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES P IMHOFF JR. (MANAGER)
(225) 784-8190
Entity
Organization
Contact information
Practice address
366 WEBB SMITH DR, COLFAX, LA 71417-1910
(318) 627-3207
(318) 627-3220
Mailing address
366 WEBB SMITH DR, COLFAX, LA 71417-1910
(318) 627-3207
(318) 627-3220
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
195430
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
860
—
LA
Enumeration date
07/07/2005
Last updated
02/10/2022
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