# LANDRY ROAD INVESTMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LADY OF THE OAKS RETIREMENT MANOR
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063487528
- **Authorized official:** MR. JOHN E JUMONVILLE (OWNER)
- **Authorized official phone:** (337) 232-6370

## Contact information

- **Practice address:** 1005 ERASTE LANDRY RD, LAFAYETTE, LA 70506-3054
- **Practice address phone:** (337) 232-6370
- **Practice address fax:** (337) 266-2071
- **Mailing address:** 1005 ERASTE LANDRY RD, LAFAYETTE, LA 70506-3054
- **Mailing address phone:** (337) 232-6370
- **Mailing address fax:** (337) 266-2071

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 906 | LA | Yes |

## Other

- **Enumeration date:** 02/20/2006
- **Last updated:** 01/31/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1522112 | — | LA |
| 05 | — | 2133748 | — | LA |