Organization
COMMCARE CORPORATION
Active
Other names
Oak Haven Community Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAWN H PSARELLIS (AUTHORIZED REPRESENTATIVE)
(504) 324-8950
Entity
Organization
Contact information
Practice address
1515 HIGHWAY 107, CENTER POINT, LA 71323-3529
(318) 253-4601
(318) 253-4668
Mailing address
1515 HIGHWAY 107, CENTER POINT, LA 71323-3529
(318) 253-4601
(318) 253-4668
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
132
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1520209
—
LA
01
—
30881
BLUE CROSS BLUE SHIELD LA
LA
Enumeration date
05/03/2006
Last updated
02/18/2021
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