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Prairie Manor, Inc.
Parenteral & Enteral Nutrition Supplies (DME) in Pine Prairie, Louisiana
NPI 1891778981

Prairie Manor, Inc. is a Parenteral & Enteral Nutrition Supplies (DME) based in Pine Prairie, LA and is specialized in Parenteral & Enteral Nutrition. Prairie Manor, Inc. practices in Pine Prairie, LA. The NPI Number for Prairie Manor, Inc. is 1891778981 and holds a License No. 452 (Louisiana).

The current practice location address for Prairie Manor, Inc. is 1050 Edwin Elliott Dr., Pine Prairie, LA and can be reached out via phone at 337-599-2031 and via fax at 337-599-2548. You can also correspond with Prairie Manor, Inc. through the mailing address at PO BOX 500, PINE PRAIRIE, LA - 70576-0500 (mailing address contact number: 337-599-2031).

Location: 1050 Edwin Elliott Dr., Pine Prairie, LA, 70576-0500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891778981
Provider Name
Prairie Manor, Inc.
Credential
Provider Entity Type
Organization
Address
1050 Edwin Elliott Dr., Pine Prairie, LA, 70576-0500
Phone Number
337-599-2031
Fax Number
337-599-2548
Provider Enumeration Date
11/22/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
19E379 05 LA
institution
Provider Business Practice Location Address Details
Address
1050 Edwin Elliott Dr.
City
Pine Prairie
State
Louisiana
Zip
70576
Phone Number
337-599-2031
Fax Number
337-599-2548
person
Provider Business Mailing Address Details
Address
Po Box 500
City
Pine Prairie
State
Louisiana
Zip
70576-0500
Phone Number
337-599-2031
Fax Number
337-599-2548
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
()
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
452 (Louisiana)
Definition
Definition to come...
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