Organization
THE BLAKE AT BOSSIER CITY OPERATING CO LLC
Active
Other names
The Blake at Bossier City
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE MATHENY (EXECUTIVE DIRECTOR)
(318) 752-6611
Entity
Organization
Contact information
Practice address
2000 BLAKE BLVD, BOSSIER CITY, LA 71111-2232
(318) 752-6611
(318) 415-6411
Mailing address
2000 BLAKE BLVD, BOSSIER CITY, LA 71111-2232
(318) 752-6611
(318) 415-6411
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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