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General NPI Number Information
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NPI Number | 1326087396
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Entity Type | Organization
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Legal Business Name | PROMPT SUCCOR NURSING HOME CORPORATION
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Dates
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Enumeration Date | 06/05/2006
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Last Update Date | 03/14/2022
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Provider Practice Location Address
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Address Line | 954 E PRUDHOMME ST
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City | OPELOUSAS
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State | LA
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Zip | 70570-8239
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Country | US
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Telephone | 337-948-3634
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Fax | 337-942-8279
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Provider Business Mailing Address
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Address Line | 954 E PRUDHOMME ST
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City | OPELOUSAS
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State | LA
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Zip | 70570-8239
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Country | US
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Telephone | 337-948-3634
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Fax | 337-942-8279
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MICHAEL PURSER
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Credential |
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Telephone | 337-948-3634
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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 | 226
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License Number State | LA
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