Organization
CHATEAU LIVING CENTER, L.L.C.
Active
Other names
Chateau Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ROBERT LASTER (ADMINISTRATOR)
(504) 464-0604
Entity
Organization
Contact information
Practice address
716 VILLAGE RD, KENNER, LA 70065-2751
(504) 464-0604
(504) 464-0808
Mailing address
716 VILLAGE RD, KENNER, LA 70065-2751
(504) 464-0604
(504) 464-0808
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
716
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521302
—
LA
01
—
4706520001
ENTERAL
LA
Enumeration date
07/19/2005
Last updated
08/22/2020
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