Organization
LLC-II, LLC
Active
Parent organization
LLC-II, LLC
Other names
Evangeline Extended Care Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
LLC-II, LLC
Authorized official
MR. KEITH G. MYERS (PRESIDENT AND CEO)
(337) 233-1307
Entity
Organization
Contact information
Practice address
801 POINCIANA AVE, 2ND FLOOR, MAMOU, LA 70554-2243
(337) 468-4203
(337) 468-4215
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
609-A
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700461
—
LA
Enumeration date
05/22/2007
Last updated
01/18/2008
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