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Contact Information

AMELIA MANOR, INC
903 CENTER ST
LAFAYETTE, LA70501-3901
 Phone: 337-234-7331
 Fax: 337-232-5057
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for AMELIA MANOR, INC

NPI Number 1932197050
LBN Legal business name AMELIA MANOR, INC
Authorized official GREGORY SARVER - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/12/2005
Last updated 01/15/2022 - About 4 years ago
Identifiers
LA License # 331
LA Medicaid 1514055
LA Other 30512 BLUECROSS BLUESHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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