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General NPI Number Information
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NPI Number | 1154368249
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Entity Type | Organization
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Legal Business Name | PLANTATION MANAGEMENT CORPORATION
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3001 S GRAND ST
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City | MONROE
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State | LA
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Zip | 71202-4152
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Country | US
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Telephone | 318-388-3200
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Fax | 318-388-2909
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Provider Business Mailing Address
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Address Line | 3001 S GRAND ST
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City | MONROE
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State | LA
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Zip | 71202-4152
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Country | US
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Telephone | 318-388-3200
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Fax | 318-388-2909
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Authorized Official
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Title or Position | COMPTROLLER
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Name | KIM DELATTE
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Credential |
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Telephone | 225-664-6697
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 58
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License Number State | LA
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