Organization
NORMAL LIFE OF LAFAYETTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEENA OMBRES (PRIVACY OFFICER)
(502) 394-2387
Entity
Organization
Contact information
Practice address
713 ROOSEVELT ST, SAINT MARTINVILLE, LA 70582-4929
(337) 342-2159
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(800) 866-0860
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1145432
—
LA
05
—
1145441
—
LA
Enumeration date
12/11/2007
Last updated
12/12/2007
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