Healthcare Provider Details

I. General information

NPI: 1023068129
Provider Name (Legal Business Name): NURSING HOME OF EUNICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3859 HIGHWAY 190
EUNICE LA
70535-7900
US

IV. Provider business mailing address

2000 OCTAVIA ST
NEW ORLEANS LA
70115-5654
US

V. Phone/Fax

Practice location:
  • Phone: 337-457-2681
  • Fax: 337-457-0728
Mailing address:
  • Phone: 337-945-3268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number929
License Number StateLA

VIII. Authorized Official

Name: JULIE MOREIN LAFLEUR
Title or Position: MANAGER OF BUSINESS AFFAIRS
Credential:
Phone: 337-945-3268