Organization · NPI-2
Landry Road Investment LLC
Skilled Nursing Facility · Lafayette, LA
NPI number1063487528
StatusActive
Last updated in NPPESJan 31, 2011
Details
- NPI
- 1063487528
- Entity type
- Organization (NPI-2)
- Legal business name
- Landry Road Investment LLC
- Organization subpart
- No
- Enumeration date
- Feb 20, 2006
- Last updated
- Jan 31, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 906 | LA | Yes |
Other names
- Lady Of The Oaks Retirement Manor (Doing Business As)
Practice location
1005 Eraste Landry RdLafayette, LA 70506-3054
Phone 337-232-6370 · Fax 337-266-2071
Mailing address
1005 Eraste Landry RdLafayette, LA 70506-3054
Phone 337-232-6370 · Fax 337-266-2071
Authorized official
John E Jumonville
Owner
3372326370
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