Provider Demographics
NPI:1922335702
Name:LAFON NURSING FACILITY OF THE HOLY FAMILY
Entity Type:Organization
Organization Name:LAFON NURSING FACILITY OF THE HOLY FAMILY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SISTER
Authorized Official - Prefix:
Authorized Official - First Name:EVA
Authorized Official - Middle Name:REGINA
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:GENERAL LEADER
Authorized Official - Phone:504-256-0036
Mailing Address - Street 1:6900 CHEF MENTEUR HWY
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70126-5216
Mailing Address - Country:US
Mailing Address - Phone:504-236-7776
Mailing Address - Fax:504-456-0141
Practice Address - Street 1:6900 CHEF MENTEUR HWY
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70126-5216
Practice Address - Country:US
Practice Address - Phone:504-236-7776
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-16
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA311251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care