| NPI | 1033555859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UZOMA BERTRAM MOORE Physician 225-270-1255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: LA MD 204952) |
| Additional Taxonomies | 283X00000X Rehabilitation Hospital |
| 310400000X Assisted Living Facility | |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2013-05-20 |