NPI 1023075355
Community Care Center of Thibodaux LLC
Practice location
- Address
- 2110 Audubon Ave, Thibodaux, LA 70301-5014
- Phone
- (985) 446-3975
- Fax
- (985) 447-5329
Authorised official
- Name
- Toni Parkinson
- Title
- Authorized Representative
- Phone
- (601) 709-1408
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1023075355
- Entity type
- Organization
- NPI issued
- 28 Apr 2006
- Record last updated
- 30 Nov 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.