# LADY OF THE OAKS RETIREMENT MANOR, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LAFAYETTE CARE CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114342953
- **Authorized official:** KIMBERLY W. DELATTE CPA (COMPTROLLER)
- **Authorized official phone:** (225) 664-6697

## Contact information

- **Practice address:** 325 BACQUE CRESCENT DR, LAFAYETTE, LA 70503-2842
- **Practice address phone:** (337) 232-0299
- **Practice address fax:** (225) 667-2843
- **Mailing address:** 301 VETERANS BLVD, DENHAM SPRINGS, LA 70726-4722
- **Mailing address phone:** (225) 664-6697
- **Mailing address fax:** (225) 667-2843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 819 | LA | Yes |

## Other

- **Enumeration date:** 03/04/2014
- **Last updated:** 03/04/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1510254 | — | LA |