Organization
LAKE WELLNESS CENTER, LLC
Active
Other names
Lake Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD FRANQUES (OWNER)
(888) 488-5253
Entity
Organization
Contact information
Practice address
200 HEYMANN BLVD STE 201, LAFAYETTE, LA 70503-2414
(888) 488-5253
Mailing address
PO BOX 53038, LAFAYETTE, LA 70505-3038
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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