Organization · NPI-2

Lafayette La Opco LLC

Skilled Nursing Facility · Lafayette, LA

NPI number1811573603
StatusActive
Last updated in NPPESMar 22, 2021

Details

NPI
1811573603
Entity type
Organization (NPI-2)
Legal business name
Lafayette La Opco LLC
Organization subpart
No
Enumeration date
Mar 22, 2021
Certification date
Mar 22, 2021
Last updated
Mar 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility––Yes

Other names

  • Maison De Lafayette Of La (Doing Business As)

Practice location

2707 Kaliste Saloom Rd
Lafayette, LA 70508-7139

Phone 337-981-2258 · Fax 337-988-3807

Mailing address

2707 Kaliste Saloom Rd
Lafayette, LA 70508-7139

Phone 337-981-2258 · Fax 337-988-3807

Authorized official

Aaron Oppenheimer
Manager
3379812258

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