Organization
ACADIAN OAKS NURSING HOME LLC
Active
Other names
MAISON DE LAFAYETTE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE MCPHERSON JR. (OWNER)
(337) 981-2258
Entity
Organization
Contact information
Practice address
2707 KALISTE SALOOM RD, LAFAYETTE, LA 70508-7139
(337) 981-2258
(337) 988-3807
Mailing address
2707 KALISTE SALOOM RD, LAFAYETTE, LA 70508-7139
(337) 981-2258
(337) 988-3807
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
688
LA
332BN1400X
Nursing Facility Supplies (DME)
688
LA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
688
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1520578
—
LA
Enumeration date
10/18/2005
Last updated
03/20/2012
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