Nurse Practitioner
2707 LAF SNF LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1700531993 · enumerated 2022-02-16 · record updated 2022-02-18. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: CHARLES MOODY, AUTHORIZED AGENT · (225) 939-6766
Other names: MAISON DE LAFAYETTE
Addresses and phones
- Mailing address 2707 KALISTE SALOOM RD, LAFAYETTE, LA, 70508-7139 Google Maps Apple Maps OpenStreetMap
- Practice location 2707 KALISTE SALOOM RD, LAFAYETTE, LA, 70508-7139 (337) 981-2258 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner 363L00000X · Primary
In this directory
Locations and evidence
-
Practice location
LAFAYETTE, LA, 705087139
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.