Organization
COMMUNITY CARE CENTER OF OPELOUSAS LLC
Active
Other names
Senior Village Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONI PARKINSON (AUTHORIZED REPRESENTATIVE)
(601) 709-1408
Entity
Organization
Contact information
Practice address
315 HARRY GUILBEAU RD, OPELOUSAS, LA 70570-6958
(337) 948-4486
(337) 948-4524
Mailing address
315 HARRY GUILBEAU RD, OPELOUSAS, LA 70570-6958
(337) 948-4486
(337) 948-4524
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
782
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521451
—
LA
01
—
30837
BLUE CROSS BLUE SHIELD LA
LA
Enumeration date
05/03/2006
Last updated
11/30/2024
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