Organization
PARADISE ADHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE YAMILETH ROBLES (VICE PRESIDENT)
(337) 412-6659
Entity
Organization
Contact information
Practice address
2121 DULLES RD, LAFAYETTE, LA 70506
(337) 412-6659
(337) 706-7961
Mailing address
2121 DULLES RD, LAFAYETTE, LA 70506
(337) 412-6659
(337) 706-7961
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
251J00000X
LA
Other
Enumeration date
07/05/2007
Last updated
08/22/2020
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