| NPI | 1033658893 |
|---|---|
| Doing Business As | RESTHAVEN LIVING CENTER |
| Entity Type | Organization |
| Authorized Contact | STEVEN BOULWARE Managing Member 318-658-9977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |