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Organization

LOBDELL COMMUNITY HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KAY MYERS (OWNER)
(225) 654-8344
Entity
Organization

Contact information

Practice address
10015 DEERFORD RD, ZACHARY, LA 70791
(225) 654-8344
Mailing address
10015 DEERFORD RD, ZACHARY, LA 70791

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1713066
LA
Enumeration date
04/26/2007
Last updated
08/22/2020
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