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You're suggesting an update to Shady Lake Nursing Home, Lake Providence, LA.
What should each field say? Leave a field blank to leave it as it is. Only the fields you change are sent.

Current: SHADY LAKE NURSING HOME

Current: 5976 HIGHWAY 65 NORTH

Current: LAKE PROVIDENCE

Current: LA

Current: 71254

Current: 3185592248

Current: (none listed)

Current: (none listed)

Current: (none listed)

Current: (none listed)

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