| NPI | 1053019265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEKOLE PREDIUM CEO 337-936-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2024-01-25 |