NPI 1033658893

Pmg Opco-Bogalusa LLC

Organisation Skilled Nursing Facility Bogalusa, LA

Practice location

Address: 1301 Harrison St, Bogalusa, LA 70427-1700
Phone: (985) 732-3909

Authorised official

Name: Steven Boulware
Title: Managing Member
Phone: (318) 658-9977

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in Louisiana →

Registry record

NPI: 1033658893
Entity type: Organization
NPI issued: 13 Feb 2017
Record last updated: 13 Feb 2017

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.