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General NPI Number Information
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NPI Number | 1952392821
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Entity Type | Organization
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Legal Business Name | TWIN OAKS NURSING HOME, INC.
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 01/28/2014
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Provider Practice Location Address
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Address Line | 506 W 5TH ST
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City | LA PLACE
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State | LA
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Zip | 70068-3940
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Country | US
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Telephone | 985-652-9538
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Fax | 985-652-8949
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Provider Business Mailing Address
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Address Line | 506 W 5TH ST
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City | LA PLACE
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State | LA
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Zip | 70068-3940
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Country | US
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Telephone | 985-652-9538
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Fax | 985-652-8949
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Authorized Official
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Title or Position | CFO
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Name | MARY LYNN LEACH
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Credential |
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Telephone | 985-626-1900
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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 | 322
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License Number State | LA
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