| NPI | 1003082421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY B WINSTON Administrator 318-323-5489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: LA 3586) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |