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Organization
LANDRY ROAD INVESTMENT LLC
Active
Organization
LANDRY ROAD INVESTMENT LLC
Active
Other names
LADY OF THE OAKS RETIREMENT MANOR
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN E JUMONVILLE (OWNER)
(337) 232-6370
Entity
Organization
Contact information
Practice address
1005 ERASTE LANDRY RD, LAFAYETTE, LA 70506-3054
(337) 232-6370
(337) 266-2071
Mailing address
1005 ERASTE LANDRY RD, LAFAYETTE, LA 70506-3054
(337) 232-6370
(337) 266-2071
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
906
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1522112
—
LA
05
—
2133748
—
LA
Enumeration date
02/20/2006
Last updated
01/31/2011
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