Hickory Manor Nursing & Rehabilitation Center, LLC

NPI #1992786024 in Bastrop, Louisiana

Provider Information

NPI Number
1992786024
Entity Type
Organization
Organization Name
Hickory Manor Nursing & Rehabilitation Center, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Nov 7, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
370 W HICKORY AVE
ZIP Code
71220-4442
Phone
(318) 281-6523

Authorized Official

Name
MR. TEDDY RAY PRICE
Title
MANAGING MEMBER
Phone
(318) 628-4116

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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