| NPI | 1013016567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES B. MCCARTNEY Owner/Manager 318-992-4175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: LA 481) |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: LA 481) |
| 314000000X Skilled Nursing Facility (Licence: LA 481) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2008-09-23 |