Organization
LESLIE LAKES CARE CENTER, LLC
Active
Other names
Leslie Lakes Retirement Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAWNE R SMITH (CEO)
(318) 812-2140
Entity
Organization
Contact information
Practice address
1355 6TH ST, ARCADIA, LA 71001-3109
(318) 263-9581
Mailing address
1355 6TH ST, ARCADIA, LA 71001-3109
(318) 263-9581
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
859
LA
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510653
—
LA
Enumeration date
08/05/2006
Last updated
02/14/2014
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