Organization
ZACHARY MANOR NURSING & REHABILITATION CENTER LLC
Active
Other names
ZACHARY MANOR NURSING & REHABILITATION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
TEDDY RAY PRICE (MANAGING MEMBER)
(318) 628-4116
Entity
Organization
Contact information
Practice address
6161 MAIN ST, ZACHARY, LA 70791-4034
(225) 654-6893
(225) 654-6369
Mailing address
6161 MAIN ST, ZACHARY, LA 70791-4034
(225) 654-6893
(225) 654-6369
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
886
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510947
—
LA
Enumeration date
06/02/2006
Last updated
09/12/2024
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