Organization
LOUISIANA GUEST HOUSE
Active
Other names
Magnolia Estates
Organization subpart
No
Provider details
NPI number
Authorized official
CAREY HOTARD (ADMINISTRATOR)
(337) 216-0950
Entity
Organization
Contact information
Practice address
1511 DULLES DR, LAFAYETTE, LA 70506-3718
(337) 216-0950
(337) 216-0994
Mailing address
1511 DULLES DR, LAFAYETTE, LA 70506-3718
(337) 216-0950
(337) 216-0994
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
923
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521477
—
LA
Enumeration date
10/26/2006
Last updated
08/22/2020
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