Organization
AMELIA MANOR, INC
Active
Other names
Amelia Manor Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY M SARVER (ADMINISTRATOR)
(337) 234-7331
Entity
Organization
Contact information
Practice address
903 CENTER ST, LAFAYETTE, LA 70501-3901
(337) 234-7331
(337) 232-5057
Mailing address
903 CENTER ST, LAFAYETTE, LA 70501-3901
(337) 234-7331
(337) 235-9734
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
331
LA
314000000X
Skilled Nursing Facility
Primary
331
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1514055
—
LA
01
—
30512
BLUECROSS BLUESHIELD
LA
Enumeration date
10/12/2005
Last updated
01/15/2022
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