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Contact Information

ACADIANA LONG TERM CARE LLC
202 WESTGATE RD
LAFAYETTE, LA70506-2711
 Phone: 337-232-1802
 Fax: 337-232-1809
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ACADIANA LONG TERM CARE LLC · (Female)

NPI Number 1588014864
Status Active
Credentials
Entity Individual
Enumeration date 06/16/2016
Last updated 06/16/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • LA License # 025427
  • LA Medicaid 1576140
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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