Organization · NPI-2
Acadian Oaks Nursing Home LLC
Skilled Nursing Facility · Lafayette, LA
NPI number1609865096
StatusActive
Last updated in NPPESMar 20, 2012
Details
- NPI
- 1609865096
- Entity type
- Organization (NPI-2)
- Legal business name
- Acadian Oaks Nursing Home LLC
- Organization subpart
- No
- Enumeration date
- Oct 18, 2005
- Last updated
- Mar 20, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 688 | LA | Yes |
| 332BN1400X | Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | 688 | LA | |
| 332BP3500X | Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | 688 | LA |
Other names
- Maison De Lafayette (Doing Business As)
Practice location
2707 Kaliste Saloom RdLafayette, LA 70508-7139
Phone 337-981-2258 · Fax 337-988-3807
Mailing address
2707 Kaliste Saloom RdLafayette, LA 70508-7139
Phone 337-981-2258 · Fax 337-988-3807
Authorized official
Joe Mcpherson
Owner
3379812258
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