# LAGNIAPPE HEALTHCARE, LLC

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

## Provider details

- **NPI number:** 1366698300
- **Authorized official:** MR. CHARLES GOODWIN GLADNEY JR. (MANAGING PARTNER)
- **Authorized official phone:** (318) 281-0078

## Contact information

- **Practice address:** 1408 SUMMERLIN LN, BASTROP, LA 71220-2529
- **Practice address phone:** (318) 281-5188
- **Mailing address:** 1523 TEXAS AVE, BASTROP, LA 71220-4043
- **Mailing address phone:** (318) 281-0078
- **Mailing address fax:** (318) 281-2753

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 291 | LA | Yes |

## Other

- **Enumeration date:** 08/11/2008
- **Last updated:** 08/11/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1513229 | — | LA |