Port Allen Care Center, LLC
NPI #1063512903 in Port Allen, Louisiana
Provider Information
- NPI Number
- 1063512903
- Entity Type
- Organization
- Organization Name
- Port Allen Care Center, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 22, 2006
- Last Updated
- Apr 29, 2019
Practice Location
- Address
- 403 N 15TH ST
- City
- Port Allen
- State
- Louisiana
- ZIP Code
- 70767-2264
- Phone
- (225) 346-8815
Authorized Official
- Name
- MR. VICTOR D GUM
- Title
- MANAGER
- Phone
- (225) 800-4955
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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