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Organization
CONSOLATA HOME
Active
Organization
CONSOLATA HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID LANDRY (ADMINISTRATOR)
(337) 365-8226
Entity
Organization
Contact information
Practice address
2319 E MAIN ST, NEW IBERIA, LA 70560-4031
(337) 365-8226
(337) 365-8626
Mailing address
2319 EAST MAIN STREET, NEW IBERIA, LA 70560
(337) 365-8226
(337) 365-8626
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
147
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1511382
—
LA
Enumeration date
05/23/2006
Last updated
08/22/2020
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