Organization
LAFAYETTE COUNCIL ON AGING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY W. BAKER (DIRECTOR OF PROGRAMS)
(337) 262-5990
Entity
Organization
Contact information
Practice address
160 INDUSTRIAL PKWY, LAFAYETTE, LA 70508-8309
(337) 262-5990
(337) 262-1365
Mailing address
160 INDUSTRIAL PARKWAY, LAFAYETTE, LA 70508
(337) 262-5990
(337) 262-1365
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
14023
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1979848
—
LA
Enumeration date
07/17/2008
Last updated
07/17/2008
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