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Organization
ACADIAN OAKS NURSING HOME LLC
Active
Organization
ACADIAN OAKS NURSING HOME LLC
Active
Other names
MAISON DE LAFAYETTE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE MCPHERSON JR. (OWNER)
(337) 981-2258
Entity
Organization
Contact information
Practice address
2707 KALISTE SALOOM RD, LAFAYETTE, LA 70508-7139
(337) 981-2258
(337) 988-3807
Mailing address
2707 KALISTE SALOOM RD, LAFAYETTE, LA 70508-7139
(337) 981-2258
(337) 988-3807
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
688
LA
332BN1400X
Nursing Facility Supplies (DME)
688
LA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
688
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1520578
—
LA
Enumeration date
10/18/2005
Last updated
03/20/2012
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