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GRACE NURSING HOME INC

Nursing/Intermediate Care Facility

Clinton, Louisiana

Provider NPI: 1861488751

Organization Information:
Organization Name:  GRACE NURSING HOME INC


Practice Location:
9725 GRACE LN  CLINTON, LA 70722 US
Tel: 225-683-8533  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N313M00000XNursing & Custodial Care Facilities
Nursing Facility/Intermediate Care Facility
LA370
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
LA370

Other Provider Identifiers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD LA33857LA01
1515094LA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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