Organization
PARK PLACE SURGERY CENTER, LLC
Active
Other names
Park Place Surgical Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES BRANDON MOORE (CEO)
(337) 237-8119
Entity
Organization
Contact information
Practice address
4811 AMBASSADOR CAFFERY PKWY, SUITE 100, LAFAYETTE, LA 70508-6917
(337) 237-8119
Mailing address
4811 AMBASSADOR CAFFERY PKWY, SUITE 100, LAFAYETTE, LA 70508-6917
(337) 237-8119
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
505
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700819
—
LA
Enumeration date
03/23/2006
Last updated
07/21/2014
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