REGENCY 14333 TENANT, LLC
Skilled Nursing Facility
Baton Rouge, Louisiana
Provider NPI: 1730183294
Organization Information:Organization Name: REGENCY 14333 TENANT, LLC
Practice Location:
14333 OLD HAMMOND HWY BATON ROUGE, LA 70816 US
Tel: 225-272-1401 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:
14333 OLD HAMMOND HWY BATON ROUGE, LA 70816 US
Tel: 225-272-1401 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | LA | 839 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
1510564 | LA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin