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Contact Information

SOUTHERN ACRES CARE CENTER, LP
4600 REDDIX LN
MONROE, LA71202-5949
 Phone: 318-322-3100
 Fax: 318-323-7482
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for SOUTHERN ACRES CARE CENTER, LP

NPI Number 1659380004
LBN Legal business name SOUTHERN ACRES CARE CENTER, LP
Authorized official DAWNE SMITH - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/05/2006
Last updated 02/14/2014 - About 12 years ago
Identifiers
LA License # 853
LA Medicaid 1510611
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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