Organization
COMMCARE CORPORATION
Active
Other names
Natchitoches Community Care Center, Heritage Manor Natchitoches Rehab & Retirement Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAWN H PSARELLIS (AUTHORIZED REPRESENTATIVE)
(504) 324-8950
Entity
Organization
Contact information
Practice address
781 HIGHWAY 494, NATCHITOCHES, LA 71457-2801
(318) 352-8296
(318) 352-3837
Mailing address
720 KEYSER AVE, NATCHITOCHES, LA 71457-6043
(318) 352-8296
(318) 352-3837
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
887
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510921
—
LA
01
—
31059
BLUE CROSS BLUE SHIELD
LA
Enumeration date
05/02/2006
Last updated
08/16/2024
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