Organization Name: | MER ROUGE COMMUNITY SVC INC |
NPI Number: | 1033140926 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN J MUSGROVE (ADMINISTRATOR) |
Mailing Address: | 1400 Davenport Ave Mer Rouge |
State: | LA US |
Postal Code: | 71261 |
Phone Number: | 3186473691 |
Fax Number: | 3186473743 |
NPI Enumeration Date: | 07/06/2006 |
NPI Last Update Date: | 10/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SL0600X |
License Number: | 227 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Long-Term Care |
Taxonomy Definition: |