Organization
BAYOU VISTA NURSING AND REHAB CENTER
Active
Other names
Bayou Vista Nursing and Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP BONNETTE PEPITON (MANAGER/MEMBER)
(318) 922-3404
Entity
Organization
Contact information
Practice address
323 EVERGREEN ST, BUNKIE, LA 71322-1307
(318) 346-2080
(318) 346-7879
Mailing address
PO BOX 270, BUNKIE, LA 71322-0270
(318) 346-2080
(318) 346-7879
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1511994
—
LA
Enumeration date
12/15/2011
Last updated
01/18/2022
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