# AMELIA MANOR, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Amelia Manor Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932197050
- **Authorized official:** MR. GREGORY M SARVER (ADMINISTRATOR)
- **Authorized official phone:** (337) 234-7331

## Contact information

- **Practice address:** 903 CENTER ST, LAFAYETTE, LA 70501-3901
- **Practice address phone:** (337) 234-7331
- **Practice address fax:** (337) 232-5057
- **Mailing address:** 903 CENTER ST, LAFAYETTE, LA 70501-3901
- **Mailing address phone:** (337) 234-7331
- **Mailing address fax:** (337) 235-9734

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 331 | LA | — |
| 314000000X | Skilled Nursing Facility | 331 | LA | Yes |

## Other

- **Enumeration date:** 10/12/2005
- **Last updated:** 01/15/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1514055 | — | LA |
| 01 | — | 30512 | BLUECROSS BLUESHIELD | LA |