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Contact Information

CHARLYN ENTERPRISES, LLC
804 POLK ST
WINNSBORO, LA71295-2350
 Phone: 318-435-6116
 Fax: 318-435-3993
 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 CHARLYN ENTERPRISES, LLC

NPI # 1710909569
LBN Legal business name CHARLYN ENTERPRISES, LLC
Authorized official DONALD HENDERSON - (NURSING FACILITY ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/24/2006
Last updated 06/13/2011 - About 15 years ago
Identifiers
LA License # 893
LA Medicaid 1514926
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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