Organization
SOUTHERN ACRES CARE CENTER, LP
Active
Other names
Southern Acres Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAWNE R SMITH (CEO)
(318) 812-2140
Entity
Organization
Contact information
Practice address
4600 REDDIX LN, MONROE, LA 71202-5949
(318) 322-3100
(318) 323-7482
Mailing address
4600 REDDIX LN, MONROE, LA 71202-5949
(318) 322-3100
(318) 323-7482
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
853
LA
332BN1400X
Nursing Facility Supplies (DME)
—
LA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510611
—
LA
Enumeration date
08/05/2006
Last updated
02/14/2014
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