Organization
ACADIA ST LANDRY GUEST HOME, INC
Active
Other names
Acadia St. Landry Guest Home
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN HENSGENS (ADMINISTRATOR)
(337) 684-6316
Entity
Organization
Contact information
Practice address
830 S BROADWAY ST, CHURCH POINT, LA 70525-4402
(337) 684-6316
(337) 684-6315
Mailing address
830 S BROADWAY ST, CHURCH POINT, LA 70525-4402
(337) 684-6316
(337) 684-6315
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
356
LA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1514667
—
LA
05
—
1566462
—
LA
01
—
30884
BLUECROSS BLUESHIELD
LA
Enumeration date
11/17/2005
Last updated
08/14/2008
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