Provider Demographics
NPI:1861038051
Name:MORGAN CITY OPCO, L.L.C.
Entity type:Organization
Organization Name:MORGAN CITY OPCO, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:V.
Authorized Official - Middle Name:DEVIN
Authorized Official - Last Name:GUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-800-4954
Mailing Address - Street 1:740 JUSTA ST
Mailing Address - Street 2:
Mailing Address - City:MORGAN CITY
Mailing Address - State:LA
Mailing Address - Zip Code:70380-1513
Mailing Address - Country:US
Mailing Address - Phone:985-384-1723
Mailing Address - Fax:985-384-4942
Practice Address - Street 1:740 JUSTA ST
Practice Address - Street 2:
Practice Address - City:MORGAN CITY
Practice Address - State:LA
Practice Address - Zip Code:70380-1513
Practice Address - Country:US
Practice Address - Phone:985-384-1723
Practice Address - Fax:985-384-4942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-22
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility