Mary Goss Nursing Home, Inc

LBN: Mary Goss Nursing Home, Inc
Mary Goss Nursing Home, Inc is an health care organization with primary practice located at 3300 White St , Monroe LA 71203-5153. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Mary Goss Nursing Home, Inc can be contacted via phone (318) 323-9013, or through Davis, Eddye Louise via phone (318) 323-9013.

Contact Information

Primary practice address
3300 White St Monroe LA 71203-5153
Phone: (318) 323-9013
Fax: (318) 324-1350
Website:
Map and Directions
Authorized official contact:
Name: Davis, Eddye Louise
Phone: (318) 323-9013

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 41 Louisiana

Profile Details

NPI number 1609861780
LBN Legal business name Mary Goss Nursing Home, Inc
DBA Doing business as
Authorized official Davis, Eddye Louise
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2005
Last updated Dec 28th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609861780 NPPES
Louisiana MEDICAID 1510327

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