Provider Demographics
NPI:1316699846
Name:ST. FRANCISVILLE NURSING AND REHAB, L.L.C.
Entity type:Organization
Organization Name:ST. FRANCISVILLE NURSING AND REHAB, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:P
Authorized Official - Last Name:IMHOFF
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:225-784-8580
Mailing Address - Street 1:15243 LA HIGHWAY 10
Mailing Address - Street 2:
Mailing Address - City:SAINT FRANCISVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70775-4752
Mailing Address - Country:US
Mailing Address - Phone:225-784-8580
Mailing Address - Fax:
Practice Address - Street 1:15243 LA HIGHWAY 10
Practice Address - Street 2:
Practice Address - City:SAINT FRANCISVILLE
Practice Address - State:LA
Practice Address - Zip Code:70775-4752
Practice Address - Country:US
Practice Address - Phone:225-784-8580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-26
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility