Organization
4005 BR SNF, LLC
Active
Other names
Mid City Community Nursing and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK MITCHELL (MANAGER)
(225) 368-3181
Entity
Organization
Contact information
Practice address
4005 NORTH BLVD, BATON ROUGE, LA 70806-3830
(225) 923-7280
(225) 387-5939
Mailing address
10615 JEFFERSON HWY, BATON ROUGE, LA 70809-7230
(225) 368-3181
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
10/05/2020
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