MEDICARE: MANAGEMENT SERVICES OF BEAUREGARD PARISH, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013013952
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANAGEMENT SERVICES OF BEAUREGARD PARISH, INC.

Provider Business Mailing Address
First Line	:	965 FISHER RD
Second Line	:
City	:	MANY
State	:	LA
Zip	:	71449-3819
Country	:	US
Telephone Number	:	318-590-0007
Fax Number	:	318-590-1711

Provider Business Practice Location Address
First Line	:	965 FISHER RD
Second Line	:
City	:	MANY
State	:	LA
Zip	:	71449-3819
Country	:	US
Telephone Number	:	318-590-0007
Fax Number	:	318-590-1711

Authorized Official
Title or Position	:	MANAGING DIRECTOR
Name	:	JACK H SANDERS
Credential	:
Telephone Number	:	318-590-0007

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	08/13/2007

Similar Medicare Providers

1568128940 — NISHI DESAI
Practice Location Address:

965 FISHER RD
MANY, LA
71449-3819

Practice Phone: 318-590-0200
Practice Fax:

1912980335 — SABINE RETIREMENT & REHABILITATION CENTER, LLC
Practice Location Address:

965 FISHER RD
MANY, LA
71449-3819

Practice Phone: 318-590-0007
Practice Fax: 318-590-1711

1366548455 — MANAGEMENT SEVEN, LLC
Practice Location Address:

965 FISHER RD
MANY, LA
71449-3819

Practice Phone: 318-590-0007
Practice Fax: 318-590-1711

1639633134 — CRYSTAL J EDWARDS
Practice Location Address:

965 FISHER RD
MANY, LA
71449-3819

Practice Phone: 337-499-6650
Practice Fax:

1699778597 — MR. HUSAM HAIDAR SUKEREK M.D.
Practice Location Address:

210 HIGHLAND DR
MANY, LA
71449-3718

Practice Phone: 318-256-5722
Practice Fax: 318-256-5774

1649262791 — SABINE MEDICAL CENTER INC
Practice Location Address:

240 HIGHLAND DR
MANY, LA
71449-3718

Practice Phone: 318-256-5691
Practice Fax: 318-256-7543

Directions to “MANAGEMENT SERVICES OF BEAUREGARD PARISH, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.