Healthcare Provider Details

I. General information

NPI: 1831188408
Provider Name (Legal Business Name): ASSISTED LIVING, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2005
Last Update Date: 01/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 W MAGNOLIA AVE
EUNICE LA
70535-3030
US

IV. Provider business mailing address

1400 W MAGNOLIA AVE
EUNICE LA
70535-3030
US

V. Phone/Fax

Practice location:
  • Phone: 337-550-7200
  • Fax: 337-550-1143
Mailing address:
  • Phone: 337-550-7200
  • Fax: 337-550-1143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number8878514001
License Number StateLA

VIII. Authorized Official

Name: MR. FRANKIE LAFLEUR
Title or Position: ADMINSTRATOR
Credential:
Phone: 337-550-7200