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NPI Code Detail

MEDICARE: BELLE TECHE NURSING & REHABILITATION CENTER, LLC

MEDICARE: BELLE TECHE NURSING & REHABILITATION CENTER, LLC
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 Facility314LA

Other Identifiers

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

General Provider Information

NPI Number : 1275514457
Entity Type Code : Organization
Provider Name (Legal Business Name) : BELLE TECHE NURSING & REHABILITATION CENTER, LLC
Provider Business Mailing Address
First Line : PO BOX 9766
Second Line :
City : NEW IBERIA
State : LA
Zip : 70562-9766
Country : US
Telephone Number : 318-364-5472
Fax Number : 337-365-8932
Provider Business Practice Location Address
First Line : 1306 W ADMIRAL DOYLE DR
Second Line :
City : NEW IBERIA
State : LA
Zip : 70560-8552
Country : US
Telephone Number : 318-364-5472
Fax Number : 337-365-8932
Authorized Official
Title or Position : MANAGING MEMBER
Name : MR. TEDDY RAY PRICE
Credential :
Telephone Number : 318-628-4116
Provider Enumeration Date : 11/07/2005
Last Update Date : 09/12/2024

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Directions to “BELLE TECHE NURSING & REHABILITATION CENTER, LLC ” Practice Location

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