Angel Manor, Llc.

LBN: Angel Manor, Llc.
Angel Manor, Llc. is an health care organization with primary practice located at 708 S Washington St , Lafayette LA 70501-6810. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as the primary health care specialty. Angel Manor, Llc. can be contacted via phone (337) 232-7761, or through Ford, John Samuel via phone (337) 232-7761.

Contact Information

Primary practice address
708 S Washington St Lafayette LA 70501-6810
Phone: (337) 232-7761
Fax: (337) 232-7762
Website:
Map and Directions
Authorized official contact:
Name: Ford, John Samuel
Phone: (337) 232-7761

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X 251C00000X Louisiana

Profile Details

NPI number 1023143963
LBN Legal business name Angel Manor, Llc.
DBA Doing business as
Authorized official Ford, John Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023143963 NPPES
Louisiana MEDICAID 1134490

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