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Contact Information

PRAIRIE MANOR, INC.
1050 EDWIN ELLIOTT DR.
PINE PRAIRIE, LA70576
 Phone: 337-599-2031
 Fax: 337-599-2548
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for PRAIRIE MANOR, INC.

NPI Number 1891778981
LBN Legal business name PRAIRIE MANOR, INC.
Authorized official SANDRA BOOK - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/22/2005
Last updated 12/10/2009 - About 16 years ago
Identifiers
LA License # 452
LA Medicaid 19E379
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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