Organization
KENTER LLC
Active
Other names
Grand Cove Nursing & Retirement Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONI PARKINSON (AUTHORIZED REPRESENTATIVE)
(601) 709-1408
Entity
Organization
Contact information
Practice address
1525 WEST MCNEESE ST, LAKE CHARLES, LA 70605-4291
(337) 474-6000
(337) 478-7522
Mailing address
1525 WEST MCNEESE ST, LAKE CHARLES, LA 70605-4291
(337) 474-6000
(337) 478-7522
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2203782405
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521469
—
LA
01
—
31060
BC/BS
LA
Enumeration date
05/04/2006
Last updated
12/30/2015
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