Provider Demographics
NPI:1033207121
Name:MANAGEMENT COMPANY INC
Entity Type:Organization
Organization Name:MANAGEMENT COMPANY INC
Other - Org Name:MANAGMENT COMPANY INC DBA MONROE MANOR NURSING HOME
Other - Org Type:Other Name
Authorized Official - Title/Position:ACCOUNTING
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUFOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-445-1635
Mailing Address - Street 1:3844 INDEPENDENCE DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303-3533
Mailing Address - Country:US
Mailing Address - Phone:318-445-1635
Mailing Address - Fax:318-473-8050
Practice Address - Street 1:4201 S GRAND ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71202-6319
Practice Address - Country:US
Practice Address - Phone:318-325-8244
Practice Address - Fax:318-473-0490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA195395Medicare Oscar/Certification