Healthcare Provider Details

I. General information

NPI: 1669859278
Provider Name (Legal Business Name): FRANCISCAN PACE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2015
Last Update Date: 05/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 W SAINT MARY BLVD SUITE 200
LAFAYETTE LA
70506-4600
US

IV. Provider business mailing address

501 W. ST MARY BLVD
LAFAYETTE LA
70506
US

V. Phone/Fax

Practice location:
  • Phone: 225-490-0324
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. KAREN ALLEN
Title or Position: CEO
Credential:
Phone: 225-765-5216