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Organization
LAFAYETTE PEDIATRIC EXTENDED CARE
Active
Organization
LAFAYETTE PEDIATRIC EXTENDED CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN GALLAGHER (MANAGER)
(318) 512-9218
Entity
Organization
Contact information
Practice address
2604 PARGOUD BLVD, MONROE, LA 71201-2331
(318) 512-9218
Mailing address
PO BOX 2994, MONROE, LA 71207-2994
(318) 512-9218
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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