Organization
WESTWOOD MANOR NURSING HOME, LLC
Active
Other names
Westwood Manor Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK SANDERS (MANAGING MEMBER)
(318) 590-0007
Entity
Organization
Contact information
Practice address
714 HIGH SCHOOL DR, DERIDDER, LA 70634-2808
(337) 463-6293
(337) 463-3234
Mailing address
714 HIGH SCHOOL DR, DERIDDER, LA 70634-2808
(337) 463-6293
(337) 463-3234
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
229
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1515175
—
LA
Enumeration date
11/21/2005
Last updated
01/07/2019
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