Healthcare Provider Details

I. General information

NPI: 1932361748
Provider Name (Legal Business Name): CHATEAU LIVING CENTER OF KENNER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2008
Last Update Date: 07/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

716 VILLAGE RD
KENNER LA
70065-2751
US

IV. Provider business mailing address

301 VETERANS BLVD
DENHAM SPRINGS LA
70726-4722
US

V. Phone/Fax

Practice location:
  • Phone: 504-464-0604
  • Fax: 504-464-0808
Mailing address:
  • Phone: 225-664-6697
  • Fax: 225-664-4664

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: KIM DELATTE
Title or Position: COMPTROLLER
Credential: CPA
Phone: 225-664-6697