Organization
ST. LANDRY EXTENDED CARE HOSPITAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH G. MYERS (PRESIDENT / CEO)
(337) 233-1307
Entity
Organization
Contact information
Practice address
539 E PRUDHOMME ST, 6TH FLOOR, OPELOUSAS, LA 70570-6499
(337) 948-5184
(337) 948-3294
Mailing address
420 W PINHOOK RD, SUITE A, LAFAYETTE, LA 70503-2131
(337) 233-1307
(337) 233-5764
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
479
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700461
—
LA
Enumeration date
05/29/2006
Last updated
08/22/2020
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