# CONSOLATA HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073568531
- **Authorized official:** MR. DAVID LANDRY (ADMINISTRATOR)
- **Authorized official phone:** (337) 365-8226

## Contact information

- **Practice address:** 2319 E MAIN ST, NEW IBERIA, LA 70560-4031
- **Practice address phone:** (337) 365-8226
- **Practice address fax:** (337) 365-8626
- **Mailing address:** 2319 EAST MAIN STREET, NEW IBERIA, LA 70560
- **Mailing address phone:** (337) 365-8226
- **Mailing address fax:** (337) 365-8626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 147 | LA | Yes |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1511382 | — | LA |
