Organization
COMMCARE CORPORATION
Active
Other names
Riviere de Soleil Community Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAWN H PSARELLIS (AUTHORIZED REPRESENTATIVE)
(504) 324-8950
Entity
Organization
Contact information
Practice address
7408 HIGHWAY 1, MANSURA, LA 71350-4204
(318) 964-2198
(318) 964-2190
Mailing address
7408 HIGHWAY 1, MANSURA, LA 71350-4204
(318) 964-2198
(337) 419-3527
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
219
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1520152
—
LA
01
—
31053
BC/BS
LA
Enumeration date
05/03/2006
Last updated
02/18/2021
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