19D0679498 CLIA NUMBER - DESOTO RETIREMENT & REHABILITATION

Laboratory Demographics

CLIA Number: 19D0679498

Facility Name: DESOTO RETIREMENT & REHABILITATION

Facility Address:
635 SCHLEY STREET
MANSFIELD, LA
ZIP 71052
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Facility Phone Number: 318 872-0276

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1396728739

Taxonomy: 314000000X - Skilled Nursing Facility
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

CLIA Record

Field Name	Field Value
CLIA Number	19D0679498
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	DESOTO RETIREMENT & REHABILITATION
Street	635 SCHLEY STREET
City	MANSFIELD
State	LA
ZIP	71052
Phone	318 872-0276
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024