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NPI Verification

National Provider Identifier: 1104170992

Acadian Oaks Nursing Home, LLC

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (2)

Nurse Practitioner, Family

Code: 363LF0000X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

2707 KALISTE SALOOM RD

LAFAYETTE, LA 705087139

Phone: 337-981-2258

NPI Enumeration Date

November 1, 2012

NPI Number

1104170992

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Acadian Oaks Nursing Home, LLC - NPI 1104170992 | Provider Verification | HormoneMap