Organization
TANGI PINES SENIOR CARE, L.L.C
Active
Other names
Tangi Pines Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KALEY W HILL (ADMINISTRATOR)
(985) 748-9464
Entity
Organization
Contact information
Practice address
709 E NORTH PL, AMITE, LA 70422-2307
(985) 748-9464
(985) 748-4404
Mailing address
10746 HWY 16, AMITE, LA 70422
(985) 748-9464
(985) 748-4404
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
834
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
834
DHH LICENSE
LA
Enumeration date
04/14/2016
Last updated
10/03/2021
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