NPI 1720085723

Colonial Living Center, LLC

Organisation Skilled Nursing Facility Metairie, LA

Practice location

Address: 4312 Ithaca St, Metairie, LA 70006-2913
Phone: (504) 887-6414
Fax: (504) 887-5812

Authorised official

Name: David Hargrave
Title: Administrator
Phone: (504) 887-6414

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 779 (LA)

Other Skilled Nursing Facility providers in Louisiana →

Registry record

NPI: 1720085723
Entity type: Organization
NPI issued: 5 Jul 2005
Record last updated: 16 Feb 2012

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.