NPI 1104170992 · live from the CMS NPI Registry
Acadian Oaks Nursing Home, LLC
Family Medicine in Lafayette, LA. National Provider Identifier 1104170992, active.
NPI record
| NPI | 1104170992 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 2707 Kaliste Saloom Rd, Lafayette, LA 70508 |
| Practice phone | 337-981-2258 |
| Enumerated | November 1, 2012 |
| Last updated | January 26, 2022 |
| Authorized official | William Mcpherson, Partner |
| Other names | Maison De Lafayette |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family | 363LF0000X | — |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.