Organization
SOUTHERN MAGNOLIA HOUSE ADULT DAY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TROY CLOUTIER (OWNER)
(985) 860-1236
Entity
Organization
Contact information
Practice address
2121 DULLES DR, LAFAYETTE, LA 70506-2652
(337) 484-3221
Mailing address
105 ENGLISH GARDENS PKWY, LAFAYETTE, LA 70503-5679
(985) 860-1236
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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