- Enrollment id
- O20040729000545
- Enrollment state
- LA
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1710948575
- Multiple npi flag
- N
- Ccn
- 195336
- Associate id
- 6204806953
- Organization name
- NEXION HEALTH AT MARRERO, INC.
- Doing business as name
- MARRERO HEALTHCARE CENTER
- Incorporation date
- 2002-01-15
- Incorporation state
- DE
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Nursing home provider name
- MARRERO HEALTHCARE CENTER
- Affiliation entity name
- NEXION HEALTH
- Affiliation entity id
- 370
- Address line 1
- 5301 AUGUST LN
- City
- MARRERO
- State
- LA
- Zip code
- 700723607