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General NPI Number Information
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NPI Number | 1982641395
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Entity Type | Organization
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Legal Business Name | PLANTATION MANAGEMENT COMPANY, LLC
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 04/28/2022
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Provider Practice Location Address
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Address Line | 839 N RANGE AVE
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City | DENHAM SPRINGS
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State | LA
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Zip | 70726-2937
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Country | US
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Telephone | 225-665-8946
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Fax |
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Provider Business Mailing Address
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Address Line | 301 VETERANS BLVD
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City | DENHAM SPRINGS
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State | LA
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Zip | 70726-4722
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Country | US
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Telephone | 225-665-8946
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Fax | 225-667-1066
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Authorized Official
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Title or Position | COMPTROLLER
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Name | MS. 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 | 146
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License Number State | LA
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