NPI 1154917771
La Old Hammond Hwy, LLC
Practice location
- Address
- 14686 Old Hammond Hwy, Baton Rouge, LA 70816-1235
- Phone
- (225) 272-9339
- Fax
- (225) 272-4171
- Mailing address
- 24641 US Highway 19 N, Clearwater, FL 33763-5007
Authorised official
- Name
- Roy B Bridges
- Title
- Authorized Agent
- Phone
- (727) 330-2801
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1154917771
- Entity type
- Organization
- NPI issued
- 17 Dec 2020
- Record last updated
- 17 Dec 2020
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.