Organization
COMMUNITY CARE CENTER OF VILLE PLATTE LLC
Active
Other names
Heritage Manor Ville Platte
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONI PARKINSON (AUTHORIZED REPRESENTATIVE)
(601) 709-1408
Entity
Organization
Contact information
Practice address
2020 W MAIN ST, VILLE PLATTE, LA 70586-2830
(337) 363-5532
(337) 363-6275
Mailing address
2020 W MAIN ST, VILLE PLATTE, LA 70586-2830
(337) 363-5532
(337) 363-6275
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
795
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510050
—
LA
01
—
30831
BLUE CROSS BLUE SHIELD
LA
01
—
3747P1801X
PERSONAL CARE ATTENDNT
LA
01
—
385H00000X
RESPITE CARE
LA
Enumeration date
05/02/2006
Last updated
11/30/2024
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