Organization
LA WESTFORK, LLC
Active
Other names
White Oak Post Acute Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROY B BRIDGES (AUTHORIZED AGENT)
(727) 330-2801
Entity
Organization
Contact information
Practice address
2828 WESTFORK DR, BATON ROUGE, LA 70816-2290
(225) 291-7049
Mailing address
24641 US HIGHWAY 19 N, CLEARWATER, FL 33763-5007
(727) 210-0781
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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