Organization
LAFAYETTE COUNCIL ON AGING, INC.
Active
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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