Healthcare Provider Details

I. General information

NPI: 1497422554
Provider Name (Legal Business Name): NEXION HEALTH AT MAISON BIENVENUE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2021
Last Update Date: 08/26/2021
Certification Date: 08/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

152 PERCY BROWN RD
THIBODAUX LA
70301
US

IV. Provider business mailing address

6937 WARFIELD AVE
SYKESVILLE MD
21784-7454
US

V. Phone/Fax

Practice location:
  • Phone: 985-279-0101
  • Fax:
Mailing address:
  • Phone: 410-935-7799
  • Fax: 443-280-6566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: FRANCIS P KIRLEY
Title or Position: PRESIDENT & CEO
Credential:
Phone: 410-552-4800