Organization
LAFAYETTE NURSING HOME LLC
Active
Other names
LaFayette Nursing Home Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOMMY FRANK PIKE (ADMINISTRATOR)
(334) 864-9371
Entity
Organization
Contact information
Practice address
555 B STREET, LAFAYETTE, AL 36862-0109
(334) 864-9371
(334) 864-9981
Mailing address
555 B ST, LAFAYETTE, AL 36862-0109
(334) 864-9371
(334) 864-9981
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
12495
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4752250S
—
AL
Enumeration date
06/30/2006
Last updated
04/25/2008
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