Organization
AUTUMN LEAVES NURSING & REHABILITATION CENTER, LLC
Active
Other names
Autumn Leaves Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TEDDY RAY PRICE (MANAGING MEMBER)
(318) 628-4116
Entity
Organization
Contact information
Practice address
342 COUNTRY CLUB RD, WINNFIELD, LA 71483-7084
(318) 628-4153
(318) 628-6171
Mailing address
PO BOX 591, WINNFIELD, LA 71483-0591
(318) 628-4153
(318) 628-6171
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
833
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1517143
—
LA
Enumeration date
11/07/2005
Last updated
09/12/2024
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