MEDICARE: MANAGEMENT COMPANY 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	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1033207121
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANAGEMENT COMPANY INC

Provider Business Mailing Address
First Line	:	3844 INDEPENDENCE DR
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71303-3533
Country	:	US
Telephone Number	:	318-445-1635
Fax Number	:	318-473-8050

Provider Business Practice Location Address
First Line	:	4201 S GRAND ST
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71202-6319
Country	:	US
Telephone Number	:	318-325-8244
Fax Number	:	318-473-0490

Authorized Official
Title or Position	:	ACCOUNTING
Name	:	MS. SANDRA DUFOUR
Credential	:
Telephone Number	:	318-445-1635

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	06/16/2008

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Directions to “MANAGEMENT COMPANY INC ” Practice Location

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