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General NPI Number Information
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NPI Number | 1164410288
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Entity Type | Organization
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Legal Business Name | COMPASS SENIOR CARE HOSPITAL, LLC
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Dates
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Enumeration Date | 10/12/2005
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Last Update Date | 11/25/2020
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Provider Practice Location Address
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Address Line | 1 HOSPITAL DR SUITE 201
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City | JENNINGS
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State | LA
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Zip | 70546-3641
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Country | US
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Telephone | 337-824-1558
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Fax | 337-824-1561
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Provider Business Mailing Address
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Address Line | 1 HOSPITAL DR SUITE 201
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City | JENNINGS
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State | LA
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Zip | 70546-3641
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Country | US
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Telephone | 337-824-1558
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Fax | 337-824-1561
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | RUSTY PHILLIPS
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Credential | LCSW
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Telephone | 337-824-1558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State |
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