Hickory Manor Skilled Nursing Facility, LLC
NPI #1316262264 in Bastrop, Louisiana
Provider Information
- NPI Number
- 1316262264
- Entity Type
- Organization
- Organization Name
- Hickory Manor Skilled Nursing Facility, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Apr 5, 2010
- Last Updated
- Apr 5, 2010
Practice Location
Authorized Official
- Name
- CHARLES GOODWIN GLADNEY
- Title
- MANAGING PARTNER
- Phone
- (318) 281-0078
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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