Organization
EHO2002, LLC
Active
Other names
EASTHAVEN CARE AND REHABILITATION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY MIX (CHIEF FINANCIAL OFFICER)
(225) 927-4290
Entity
Organization
Contact information
Practice address
9660 LAKE FOREST BLVD, NEW ORLEANS, LA 70127-2619
(504) 244-9013
(504) 241-5330
Mailing address
3049 S SHERWOOD FOREST BLVD, SUITE 200, BATON ROUGE, LA 70816-2277
(225) 927-4290
(225) 927-5385
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510408
—
LA
Enumeration date
07/18/2005
Last updated
08/22/2020
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