Organization
HAVEN NURSING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER A DONALIES (BUSINESS OFFICE/AR)
(318) 649-9809
Entity
Organization
Contact information
Practice address
7726 US HWY 165, COLUMBIA, LA 71418
(318) 649-9809
(318) 649-9825
Mailing address
7726 US HWY 165, COLUMBIA, LA 71418
(318) 649-9809
(318) 649-9825
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
139
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1514659
—
LA
01
—
33850
BC/BS OF LA PROVIDER NUMB
LA
Enumeration date
12/05/2005
Last updated
01/12/2010
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