Provider Demographics
NPI:1073556171
Name:PEACE INC
Entity Type:Organization
Organization Name:PEACE INC
Other - Org Name:TRI COMMUNITY NURSING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:GERARD
Authorized Official - Middle Name:
Authorized Official - Last Name:LACOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-623-4227
Mailing Address - Street 1:7014 HWY 71
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:LA
Mailing Address - Zip Code:71358
Mailing Address - Country:US
Mailing Address - Phone:337-623-4227
Mailing Address - Fax:337-623-5602
Practice Address - Street 1:7014 HWY 71
Practice Address - Street 2:
Practice Address - City:PALMETTO
Practice Address - State:LA
Practice Address - Zip Code:71358
Practice Address - Country:US
Practice Address - Phone:337-623-4227
Practice Address - Fax:337-623-5602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA444314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1551675Medicaid
LA1551675Medicaid