Organization
LADY OF THE OAKS RETIREMENT MANOR, LLC
Active
Other names
LAFAYETTE CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY W. DELATTE CPA (COMPTROLLER)
(225) 664-6697
Entity
Organization
Contact information
Practice address
325 BACQUE CRESCENT DR, LAFAYETTE, LA 70503-2842
(337) 232-0299
(225) 667-2843
Mailing address
301 VETERANS BLVD, DENHAM SPRINGS, LA 70726-4722
(225) 664-6697
(225) 667-2843
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
819
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1510254
—
LA
Enumeration date
03/04/2014
Last updated
03/04/2014
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