Lafayette Extended Care

NPI 1205878097 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1205878097
Enumeration Date 06/13/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name YVONNE YVONNE
Position ADMINISTRATOR
Phone (334) 864-8854
Fax (334) 864-8851
Practice Location
805 HOSPITAL ST
LAFAYETTE AL, 36862-2817, US
Phone (334) 864-8854
Fax (334) 864-8851
Business Location
PO BOX 152
LAFAYETTE AL, 36862-0152, US
Phone (334) 864-8854
Fax (334) 864-8851
Toxanomy
Taxonomy Code 314000000X
License State Alabama
License Number 12494
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According to our database, Lafayette Extended Care NPI is 1205878097, taxonomy code is 314000000X and license number is 12494, license state is located at Alabama. Lafayette Extended Care physically located at 805 Hospital St, Lafayette AL, 36862-2817. NPI Number 1033115704 has the healthcare provider type.

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1205878097 NPI number is provided on an as is basis without warranty of any kind. 1205878097 is maintained by the National Plan & Provider Enumeration System. The contents of Lafayette Extended Care are for informational purposes only.