Organization
COMMUNITY CARE CENTER OF COVINGTON LLC
Active
Other names
Forest Manor Nursing & 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
1330 OCHSNER BLVD, COVINGTON, LA 70433-8172
(985) 892-6900
(985) 892-7857
Mailing address
1330 OCHSNER BLVD, COVINGTON, LA 70433-8172
(985) 892-6900
(985) 892-7857
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
776
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521361
—
LA
01
—
30901
BC/BS
LA
Enumeration date
05/04/2006
Last updated
11/30/2024
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