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NPI Code Detail

MEDICARE: LANE MEMORIAL HOSPITAL SKILLED NURSING FACILITY

MEDICARE: LANE MEMORIAL HOSPITAL SKILLED NURSING FACILITY
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
1314000000XSkilled Nursing FacilityLA

General Provider Information

NPI Number : 1205823358
Entity Type Code : Organization
Provider Name (Legal Business Name) : LANE MEMORIAL HOSPITAL SKILLED NURSING FACILITY
Provider Business Mailing Address
First Line : 6300 MAIN ST
Second Line :
City : ZACHARY
State : LA
Zip : 70791-4037
Country : US
Telephone Number : 225-658-4000
Fax Number : 225-658-4289
Provider Business Practice Location Address
First Line : 6300 MAIN ST
Second Line :
City : ZACHARY
State : LA
Zip : 70791-4037
Country : US
Telephone Number : 225-658-4000
Fax Number : 225-658-4289
Authorized Official
Title or Position : CHIEF NURSING OFFICER
Name : MRS. JENNIFER JOHNSON
Credential : RN
Telephone Number : 225-658-4000
Provider Enumeration Date : 10/04/2005
Last Update Date : 07/21/2022

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Directions to “LANE MEMORIAL HOSPITAL SKILLED NURSING FACILITY ” 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.

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