Ponchatoula Nursing Home, LLC

NPI #1003030800 in Hammond, Louisiana

Provider Information

NPI Number: 1003030800
Entity Type: Organization
Organization Name: Ponchatoula Nursing Home, LLC
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Apr 12, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 15704 MEDICAL ARTS DR
City: Hammond
State: Louisiana
ZIP Code: 70403-1446
Phone: (985) 542-0110

Authorized Official

Name: MR. PAUL GUITREAU
Title: OWNER
Phone: (985) 542-0110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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