MEDICARE: MANSFIELD NURSING CENTER, L.L.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	474	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346223708
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANSFIELD NURSING CENTER, L.L.C.

Provider Business Mailing Address
First Line	:	PO BOX 761
Second Line	:
City	:	MANSFIELD
State	:	LA
Zip	:	71052-0761
Country	:	US
Telephone Number	:	318-872-9911
Fax Number	:	318-872-9696

Provider Business Practice Location Address
First Line	:	1725 MCARTHUR DR
Second Line	:
City	:	MANSFIELD
State	:	LA
Zip	:	71052-4501
Country	:	US
Telephone Number	:	318-872-9911
Fax Number	:	318-872-9696

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MR. JACK SANDERS
Credential	:
Telephone Number	:	318-590-0007

Provider Enumeration Date	:	11/21/2005
Last Update Date	:	03/21/2025

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Directions to “MANSFIELD NURSING CENTER, L.L.C. ” Practice Location

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