Organization
LLC-II, LLC
Active
Organization
LLC-II, LLC
Active
Other names
St. Landry Extended Care Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GACHASSIN III (EXECUTIVE VICE PRESIDENT)
(337) 233-1307
Entity
Organization
Contact information
Practice address
539 E PRUDHOMME ST FL 6, OPELOUSAS, LA 70570-6499
(337) 948-5184
(337) 948-3294
Mailing address
PO BOX 51266, LAFAYETTE, LA 70505-1266
(337) 233-1307
(337) 443-4154
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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