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Organization

ASCENSION CARE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CLINT PAUL GUILLOT (OWNER/MEMBER)
(225) 644-4853
Entity
Organization

Contact information

Practice address
711 W CORNERVIEW ST, GONZALES, LA 70737-3307
(225) 644-6581
(225) 644-8430
Mailing address
1039 E HIGHWAY 30, GONZALES, LA 70737-4757
(225) 644-4853
(225) 647-9658

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
804
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1510084
LA
Enumeration date
09/14/2006
Last updated
08/22/2020
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