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Organization

OAK PARK HEALTH CARE CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BOB G. DEAN JR. (MANAGING MEMBER)
(225) 343-9152
Entity
Organization

Contact information

Practice address
2335 OAK PARK BLVD, LAKE CHARLES, LA 70601-7970
(337) 478-2920
(337) 479-1512
Mailing address
2335 OAK PARK BLVD, LAKE CHARLES, LA 70601-7970
(337) 478-2920
(337) 479-1512

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
841
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
52046
LA
Enumeration date
01/17/2007
Last updated
06/29/2009
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