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Organization

RAYNE GUEST HOME INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TREVOR T HAIR (ADMINISTRATOR)
(337) 334-5111
Entity
Organization

Contact information

Practice address
308 AMELIA ST, RAYNE, LA 70578-5637
(337) 334-5111
(337) 334-8869
Mailing address
308 AMELIA ST, RAYNE, LA 70578-5637
(337) 334-5111
(337) 334-8869

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
256
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1548715
LA
Enumeration date
05/21/2008
Last updated
05/21/2008
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