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Organization

LANDRY ROAD INVESTMENT LLC

Active
Other names
LADY OF THE OAKS RETIREMENT MANOR
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN E JUMONVILLE (OWNER)
(337) 232-6370
Entity
Organization

Contact information

Practice address
1005 ERASTE LANDRY RD, LAFAYETTE, LA 70506-3054
(337) 232-6370
(337) 266-2071
Mailing address
1005 ERASTE LANDRY RD, LAFAYETTE, LA 70506-3054
(337) 232-6370
(337) 266-2071

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
906
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1522112
LA
05
2133748
LA
Enumeration date
02/20/2006
Last updated
01/31/2011
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