Shady Lake Nursing Home, Llc

  • 1346223765 NPI Number
  • |
  • Actived: 18 years ago
  • |
Shady Lake Nursing Home, Llc is a health care provider based in Lake Providence, LA. The NPI Number is 1346223765 and it has been active since 18 years ago. The specialty is Skilled Nursing Facility, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Skilled Nursing Facility services, Shady Lake Nursing Home, Llc is an excellent option. We are here to help you get the care you need.

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Overview of Shady Lake Nursing Home, Llc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 11/21/2005
  • Last updated: 01/07/2019

Primary Scrop of Practice

  • Taxonomy Code: 314000000X
  • Specialty: Skilled Nursing Facility
  • License Number: 304
  • License State: LA

Provider Mailing Address

  • Address: Po Box 426
    Lake Providence, LA 71254
  • Phone: 318-559-2248
  • Fax: 318-559-3381

Provider Practice Location

  • Address: 5976 Highway 65 N
    Lake Providence, LA 71254
  • Phone: 318-559-2248
  • Fax: 318-559-3381

Authorized Official

  • Name: MR. Jack Sanders
  • Position/Title: Managing Member
  • Telephone Number: 318-590-0007

Scope of Practice

  • Taxonomy Code: 314000000X
  • Specialty: Skilled Nursing Facility
  • License Number: 304
  • License State: LA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 1513687
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: LA
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Shady Lake Nursing Home, Llc?
  • A: The npi number for Shady Lake Nursing Home, Llc is 1346223765.
  • Q: What are Shady Lake Nursing Home, Llc's specialties?
  • A: Shady Lake Nursing Home, Llc's specialties are Skilled Nursing Facility and different specialities.
  • Q: Where is Shady Lake Nursing Home, Llc business practice location?
  • A: Shady Lake Nursing Home, Llc business practice location is 5976 Highway 65 N, Lake Providence, LA 71254.
  • Q: How to contact Shady Lake Nursing Home, Llc?
  • A: You can contact Shady Lake Nursing Home, Llc via 318-559-2248.
  • Q: What is the authorized official for Shady Lake Nursing Home, Llc?
  • A: The authorized office name is MR. Jack Sanders with position/title is Managing Member and you can reach the authorized official via phone number 3185900007.
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