Healthcare Provider Details

I. General information

NPI: 1457838088
Provider Name (Legal Business Name): BELLE MAISON NURSING & REHABILITATION CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2018
Last Update Date: 09/12/2024
Certification Date: 09/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15704 MEDICAL ARTS DR
HAMMOND LA
70403-1446
US

IV. Provider business mailing address

15704 MEDICAL ARTS DR
HAMMOND LA
70403-1446
US

V. Phone/Fax

Practice location:
  • Phone: 985-542-0110
  • Fax:
Mailing address:
  • Phone: 985-542-0110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: TEDDY PRICE
Title or Position: MANAGING MEMBER
Credential:
Phone: 318-628-4116