# 2907 BASILE SNF LLC

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

## Provider details

- **NPI number:** 1366168973
- **Authorized official:** CHARLES A MOODY III (AUTHORIZED AGENT)
- **Authorized official phone:** (337) 270-9090

## Contact information

- **Practice address:** 2907 SCHAMBERS ST, BASILE, LA 70515-5445
- **Practice address phone:** (337) 432-6663
- **Mailing address:** 2100 VEROT SCHOOL RD STE 4, LAFAYETTE, LA 70508-6466
- **Mailing address phone:** (337) 270-9090
- **Mailing address fax:** (337) 270-9038

## Taxonomy

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

## Other

- **Enumeration date:** 10/14/2022
- **Last updated:** 02/16/2026