Organization
LAFAYETTE GENERAL MEDICAL CENTER INC HOME HEALTH
Active
Parent organization
LAFAYETTE GENERAL MEDICAL CENTER INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAFAYETTE GENERAL MEDICAL CENTER INC
Authorized official
MRS. DEBRA A GOODLY R.N. (ASSISTANT DIRECTOR OF NURSING)
(337) 289-8025
Entity
Organization
Contact information
Practice address
201 AUDUBON BLVD, STE 246, LAFAYETTE, LA 70503-2608
(337) 289-8137
(337) 289-8138
Mailing address
201 AUDUBON BLVD, STE 246, LAFAYETTE, LA 70503-2632
(337) 289-8137
(337) 289-8138
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
163
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1401366
—
LA
Enumeration date
05/23/2005
Last updated
12/06/2007
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