Organization
LOUISIANA GUEST HOUSE, LLC
Active
Other names
Camelot of Broussard Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE HOWARD (CHIEF OPERATING OFFICER)
(318) 641-3717
Entity
Organization
Contact information
Practice address
418 ALBERTSON PKWY, BROUSSARD, LA 70518-4971
(337) 839-9005
(337) 837-9398
Mailing address
4333 SHREVEPORT HWY, PINEVILLE, LA 71360-3828
(318) 445-6470
(318) 641-6282
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AC13262
LA
Other
Enumeration date
05/19/2011
Last updated
05/19/2011
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