Organization
SOUTHERN NURSING HOME HEALTH
Active
Other names
Gonzales Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM DICKERSON (MANAGER)
(225) 927-5978
Entity
Organization
Contact information
Practice address
8335 KELWOOD AVE, BATON ROUGE, LA 70806-4804
(225) 927-5978
(225) 927-5980
Mailing address
8335 KELWOOD AVE, BATON ROUGE, LA 70806-4804
(225) 927-5978
(225) 927-5980
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
901
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1405051
—
LA
Enumeration date
02/21/2007
Last updated
05/14/2012
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