Provider Demographics
NPI:1467568303
Name:ASSISTED LIVING INC.
Entity Type:Organization
Organization Name:ASSISTED LIVING INC.
Other - Org Name:OAKLANE WELLNESS & REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAFLEUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-550-7200
Mailing Address - Street 1:1400 W MAGNOLIA AVE
Mailing Address - Street 2:
Mailing Address - City:EUNICE
Mailing Address - State:LA
Mailing Address - Zip Code:70535-3030
Mailing Address - Country:US
Mailing Address - Phone:337-550-7200
Mailing Address - Fax:337-550-1143
Practice Address - Street 1:1400 W MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:EUNICE
Practice Address - State:LA
Practice Address - Zip Code:70535-3030
Practice Address - Country:US
Practice Address - Phone:337-550-7200
Practice Address - Fax:337-550-1143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA838314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1510513Medicaid
LA195588Medicare ID - Type UnspecifiedPROVIDER NUMBER