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Contact Information

OLLIE STEELE BURDEN MANOR, INC
7435 BISHOP OTT DRIVE
BATON ROUGE, LA70806-8930
 Phone: 225-216-3604
 Fax: 225-216-3746
 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 OLLIE STEELE BURDEN MANOR, INC

NPI Number 1972502185
LBN Legal business name OLLIE STEELE BURDEN MANOR, INC
Authorized official EDWARD SMITH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/19/2005
Last updated 04/21/2009 - About 17 years ago
Identifiers
LA License # 718
LA Medicaid 1520969
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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