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Organization

LADY OF THE OAKS RETIREMENT MANOR, LLC

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

Provider details

NPI number
Authorized official
MRS. KIMBERLY DELATTE CPA (COMPTROLLER)
(225) 664-6697
Entity
Organization

Contact information

Practice address
1005 ERASTE LANDRY RD, LAFAYETTE, LA 70506-3054
(337) 232-6370
(337) 266-2071
Mailing address
301 VETERANS BLVD, DENHAM SPRINGS, LA 70726-4722
(225) 664-6697

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
906
LA
314000000X
Skilled Nursing Facility
Primary
994
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2133748
LA
Enumeration date
05/04/2011
Last updated
09/27/2011
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