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Clc Of Lake Providence, Llc
Skilled Nursing Facility in Lake Providence, Louisiana
NPI 1902896657

Clc Of Lake Providence, Llc is a Skilled Nursing Facility based in Lake Providence, LA. Clc Of Lake Providence, Llc practices in Lake Providence, LA. The NPI Number for Clc Of Lake Providence, Llc is 1902896657 and holds a License No. 750 (Louisiana).

The current practice location address for Clc Of Lake Providence, Llc is 5976 Highway 65 N, Lake Providence, LA and can be reached out via phone at 318-559-4050 and via fax at 318-559-4052.

Location: 5976 Highway 65 N, Lake Providence, LA, 71254-5235
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902896657
Provider Name
Clc Of Lake Providence, Llc
Credential
Provider Entity Type
Organization
Address
5976 Highway 65 N, Lake Providence, LA, 71254-5235
Phone Number
318-559-4050
Fax Number
318-559-4052
Provider Enumeration Date
10/25/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1520632 05 LA
institution
Provider Business Practice Location Address Details
Address
5976 Highway 65 N
City
Lake Providence
State
Louisiana
Zip
71254-5235
Phone Number
318-559-4050
Fax Number
318-559-4052
person
Provider Business Mailing Address Details
Address
5976 Highway 65 N
City
Lake Providence
State
Louisiana
Zip
71254-5235
Phone Number
318-559-4050
Fax Number
318-559-4052
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
750 (Louisiana)
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.
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