Organization
CLAIBORNE OPERATOR GROUP LLC
Active
Other names
Claiborne Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
DAWNE R SMITH (MANAGING MEMBER)
(318) 812-2140
Entity
Organization
Contact information
Practice address
6942 HIGHWAY 79, HOMER, LA 71040-2023
(318) 972-3586
(318) 927-4656
Mailing address
101 N 2ND ST, 200, WEST MONROE, LA 71291-3266
(318) 972-3586
(318) 927-4656
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2203782944
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1516236
—
LA
Enumeration date
10/12/2016
Last updated
11/14/2016
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