Organization · NPI-2

Amelia Manor, INC

Skilled Nursing Facility · Lafayette, LA

NPI number1932197050
StatusActive
Last updated in NPPESJan 15, 2022

Details

NPI
1932197050
Entity type
Organization (NPI-2)
Legal business name
Amelia Manor, INC
Organization subpart
No
Enumeration date
Oct 12, 2005
Certification date
Jan 15, 2022
Last updated
Jan 15, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility331LAYes
313M00000X Nursing Facility/Intermediate Care Facility331LA

Other names

  • Amelia Manor Nursing Home (Doing Business As)

Practice location

903 Center St
Lafayette, LA 70501-3901

Phone 337-234-7331 · Fax 337-232-5057

Mailing address

903 Center St
Lafayette, LA 70501-3901

Phone 337-234-7331 · Fax 337-235-9734

Authorized official

Gregory M Sarver
Administrator
3372347331

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