Organization
PONCHATOULA NURSING HOME, LLC
Active
Other names
Belle Maison Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELWOOD PAUL GUITREAU JR. (ADMINISTRATOR)
(985) 542-0110
Entity
Organization
Contact information
Practice address
15704 MEDICAL ARTS DR, HAMMOND, LA 70403-1446
(985) 542-0110
(985) 542-8619
Mailing address
15704 MEDICAL ARTS DR, HAMMOND, LA 70403-1446
(985) 542-0110
(985) 542-8619
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
856
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1163163
—
LA
05
—
1510467
—
LA
Enumeration date
10/05/2006
Last updated
08/22/2020
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