Organization
COMMUNITY CARE CENTER OF DESTREHAN LLC
Active
Other names
Ormond Nursing and Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONI PARKINSON (AUTHORIZED REPRESENTATIVE)
(601) 709-1408
Entity
Organization
Contact information
Practice address
22 PLANTATION RD, DESTREHAN, LA 70047-3013
(985) 164-1793
(985) 764-1374
Mailing address
22 PLANTATION RD, DESTREHAN, LA 70047-3013
(985) 164-1793
(985) 764-1374
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
803
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510122
—
LA
01
—
60529
BUE CROSS BLUE SHIELD
LA
Enumeration date
05/03/2006
Last updated
11/30/2024
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