# PARADISE ADHC

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

## Provider details

- **NPI number:** 1457559023
- **Authorized official:** MRS. JULIE YAMILETH ROBLES (VICE PRESIDENT)
- **Authorized official phone:** (337) 412-6659

## Contact information

- **Practice address:** 2121 DULLES RD, LAFAYETTE, LA 70506
- **Practice address phone:** (337) 412-6659
- **Practice address fax:** (337) 706-7961
- **Mailing address:** 2121 DULLES RD, LAFAYETTE, LA 70506
- **Mailing address phone:** (337) 412-6659
- **Mailing address fax:** (337) 706-7961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 251J00000X | LA | Yes |

## Other

- **Enumeration date:** 07/05/2007
- **Last updated:** 08/22/2020