NPI | 1891794095 |
---|---|
Doing Business As | OLLIE STEELE BURDEN MANOR |
Entity Type | Organization |
Authorized Contact | SUSAN S. FOLSE Administrator 225-926-0091 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA 246) |
Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: LA 246) |
332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: LA 246) | |
Enumeration Date | 2005-07-19 |
Last Update Date | 2008-10-28 |