NPI | 1871670059 |
---|---|
Doing Business As | EASTRIDGE NURSING CENTER |
Entity Type | Organization |
Authorized Contact | BONNIE QUIBODEAUX CFO 225-769-7960 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA 748) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2021-05-07 |