NPI 1063512903

Port Allen Care Center, LLC

Organisation Skilled Nursing Facility Port Allen, LA

Practice location

Address: 403 N 15th St, Port Allen, LA 70767-2264
Phone: (225) 346-8815
Fax: (225) 346-8989

Authorised official

Name: Victor D Gum
Title: Manager
Phone: (225) 800-4955

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 385 (LA)

Other Skilled Nursing Facility providers in Louisiana →

Registry record

NPI: 1063512903
Entity type: Organization
NPI issued: 22 Sep 2006
Record last updated: 29 Apr 2019

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.