Organization
ROSEWOOD NURSING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH C TUTERA (MANAGER)
(181) 644-4090
Entity
Organization
Contact information
Practice address
534 15TH ST, LAKE CHARLES, LA 70601-7336
(337) 439-8338
(337) 310-8268
Mailing address
534 15TH ST, LAKE CHARLES, LA 70601-7336
(337) 439-8338
(337) 310-8268
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
422
LA
335E00000X
Prosthetic/Orthotic Supplier
422
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1516325
—
LA
Enumeration date
07/26/2005
Last updated
04/19/2024
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