La Old Hammond Hwy, LLC
NPI #1154917771 in Baton Rouge, Louisiana
Provider Information
- NPI Number
- 1154917771
- Entity Type
- Organization
- Organization Name
- La Old Hammond Hwy, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 17, 2020
- Last Updated
- Dec 17, 2020
Practice Location
- Address
- 14686 OLD HAMMOND HWY
- City
- Baton Rouge
- State
- Louisiana
- ZIP Code
- 70816-1235
- Phone
- (225) 272-9339
Authorized Official
- Name
- MR. ROY B BRIDGES
- Title
- AUTHORIZED AGENT
- Phone
- (727) 330-2801
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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