Organization
OUR LADY OF THE LAKE HOSPITAL, INC.
Active
Other names
OLOL St. Francis Adult Day Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT C. DAVIDGE (CHIEF EXECUTIVE OFFICES)
(225) 765-6565
Entity
Organization
Contact information
Practice address
2401 SILVERSIDE DRIVE, BATON ROUGE, LA 70808
(225) 765-7875
(225) 765-0947
Mailing address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 765-7875
(225) 765-9047
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38508
—
LA
Enumeration date
06/22/2007
Last updated
08/22/2020
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