# LOUISIANA GUEST HOUSE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Magnolia Estates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962587816
- **Authorized official:** CAREY HOTARD (ADMINISTRATOR)
- **Authorized official phone:** (337) 216-0950

## Contact information

- **Practice address:** 1511 DULLES DR, LAFAYETTE, LA 70506-3718
- **Practice address phone:** (337) 216-0950
- **Practice address fax:** (337) 216-0994
- **Mailing address:** 1511 DULLES DR, LAFAYETTE, LA 70506-3718
- **Mailing address phone:** (337) 216-0950
- **Mailing address fax:** (337) 216-0994

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 923 | LA | Yes |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1521477 | — | LA |