Organization
VILLA FELICIANA MEDICAL COMPLEX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES R. O'REAR (LONG TERM CARE HOSPITAL ADMIN.)
(225) 634-4017
Entity
Organization
Contact information
Practice address
5002 HWY 10, JACKSON, LA 70748
(225) 634-4017
(225) 634-4191
Mailing address
5002 HIGHWAY 10, JACKSON, LA 70748-0438
(225) 634-4017
(225) 634-4191
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118326
LAB
LA
05
—
1551465
—
LA
01
—
1734641
HOSPITAL
LA
01
—
5CF42
MEDICARE PART B
LA
01
—
5CK77
X-RAY
LA
Enumeration date
01/10/2007
Last updated
05/06/2008
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