ACADIAN 4005 TENANT, LLC
Skilled Nursing Facility
Baton Rouge, Louisiana
Provider NPI: 1275537136
Organization Information:Organization Name: ACADIAN 4005 TENANT, LLC
Practice Location:
4005 NORTH BLVD BATON ROUGE, LA 70806 US
Tel: 225-387-5934 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
4005 NORTH BLVD BATON ROUGE, LA 70806 US
Tel: 225-387-5934 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | LA | 264 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1520772 | LA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin