Jackson Manor Nursing & Rehabilitation Center

LBN: Jackson Manor 1691 Tenant, Llc
Jackson Manor Nursing & Rehabilitation Center is an health care organization with primary practice located at 1691 S Hudson Ave , Jonesboro LA 71251-5856. 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. Jackson Manor 1691 Tenant, Llc can be contacted via phone (318) 259-7386, or through Paley, Alex via phone (914) 390-4363.

Contact Information

Primary practice address
1691 S Hudson Ave Jonesboro LA 71251-5856
Phone: (318) 259-7386
Fax: (318) 259-4644
Website:
Map and Directions
Authorized official contact:
Name: Paley, Alex
Phone: (914) 390-4363

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 865 Louisiana

Profile Details

NPI number 1861491466
LBN Legal business name Jackson Manor 1691 Tenant, Llc
DBA Doing business as Jackson Manor Nursing & Rehabilitation Center
Authorized official Paley, Alex
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2005
Last updated Feb 12th, 2008 - about 16 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 1861491466 NPPES
Louisiana MEDICAID 1510726

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