# COURTYARD MANOR NURSE CARE CENTER

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

## Provider details

- **NPI number:** 1164678405
- **Authorized official:** MS. CRYSTAL MOUTON MCCOY (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (337) 237-3940

## Contact information

- **Practice address:** 306 SIDNEY MARTIN RD, LAFAYETTE, LA 70507-4518
- **Practice address phone:** (337) 237-3940
- **Practice address fax:** (337) 769-1113
- **Mailing address:** 306 SIDNEY MARTIN RD, LAFAYETTE, LA 70507-4518
- **Mailing address phone:** (337) 237-3940
- **Mailing address fax:** (337) 769-1113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 936 | LA | Yes |

## Other

- **Enumeration date:** 08/18/2008
- **Last updated:** 08/18/2008