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Organization
CORNERSTONE VILLAGE SOUTH, INC
Active
Organization
CORNERSTONE VILLAGE SOUTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE LINSCOMBE (OWNER)
(337) 981-5335
Entity
Organization
Contact information
Practice address
103 W MARTIAL AVE, LAFAYETTE, LA 70508-6719
(337) 981-5335
Mailing address
103 W MARTIAL AVE, LAFAYETTE, LA 70508-6719
(337) 981-5335
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
482
LA
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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