| NPI | 1710909569 |
|---|---|
| Doing Business As | CHARLYN REHABILITATION & NURSING CENTER |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE HENDERSON Nursing Facility Administrator 318-435-6116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA 893) |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: LA 893) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: LA 893) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2011-06-13 |