Organization
CHARLYN ENTERPRISES, LLC
Active
Other names
CHARLYN REHABILITATION & NURSING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD WAYNE HENDERSON (NURSING FACILITY ADMINISTRATOR)
(318) 435-6116
Entity
Organization
Contact information
Practice address
804 POLK ST, WINNSBORO, LA 71295-2350
(318) 435-6116
(318) 435-3993
Mailing address
804 POLK ST, WINNSBORO, LA 71295-2350
(318) 435-6116
(318) 435-3993
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
893
LA
332BN1400X
Nursing Facility Supplies (DME)
893
LA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
893
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1514926
—
LA
Enumeration date
07/24/2006
Last updated
06/13/2011
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