Organization
2907 BASILE SNF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES A MOODY III (AUTHORIZED AGENT)
(337) 270-9090
Entity
Organization
Contact information
Practice address
2907 SCHAMBERS ST, BASILE, LA 70515-5445
(337) 432-6663
Mailing address
2100 VEROT SCHOOL RD STE 4, LAFAYETTE, LA 70508-6466
(337) 270-9090
(337) 270-9038
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/14/2022
Last updated
02/16/2026
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