Organization
COMMCARE CORPORATION
Active
Parent organization
COMMCARE CORPORATION
Other names
Old Brownlee Community Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMCARE CORPORATION
Authorized official
DAWN H PSARELLIS (VP, CHIEF ADMINISTRATIVE OFFICER)
(504) 324-8950
Entity
Organization
Contact information
Practice address
4680 OLD BROWNLEE ROAD, BOSSIER CITY, LA 71111
(318) 326-4259
Mailing address
4680 OLD BROWNLEE ROAD, BOSSIER CITY, LA 71111
(318) 553-5950
(318) 553-5952
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
249
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518506
—
LA
Enumeration date
06/04/2006
Last updated
03/09/2021
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