| NPI | 1043315005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI RIZZO General Manager 225-272-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded (Licence: LA 873) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-22 |