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1366168973
2907 BASILE SNF LLC
BASILE, LA
NPI
1366168973
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Entity Type
Organization
Authorized Contact
CHARLES A MOODY
Authorized Agent
337-270-9090
Organization Subpart ?
No
Primary Taxonomy
314000000X Skilled Nursing Facility
Enumeration Date
2022-10-14
Last Update Date
2022-10-14
Business Address
2907 BASILE SNF LLC
2907 SCHAMBERS ST
BASILE, LA 70515-5445
Phone number: 337-432-6663
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Mailing Address
2907 BASILE SNF LLC
2100 VEROT SCHOOL RD STE 4
LAFAYETTE, LA 70508-6466
Phone number: 337-270-9090
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