Organization · NPI-2
Lady Of The Oaks Retirement Manor, LLC
Skilled Nursing Facility · Lafayette, LA
NPI number1114342953
StatusActive
Last updated in NPPESMar 4, 2014
Details
- NPI
- 1114342953
- Entity type
- Organization (NPI-2)
- Legal business name
- Lady Of The Oaks Retirement Manor, LLC
- Organization subpart
- No
- Enumeration date
- Mar 4, 2014
- Last updated
- Mar 4, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 819 | LA | Yes |
Other names
- Lafayette Care Center (Doing Business As)
Practice location
325 Bacque Crescent DrLafayette, LA 70503-2842
Phone 337-232-0299 · Fax 225-667-2843
Mailing address
301 Veterans BlvdDenham Springs, LA 70726-4722
Phone 225-664-6697 · Fax 225-667-2843
Authorized official
Kimberly W. Delatte
Comptroller
2256646697
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