| NPI | 1063601482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN B. ALLEN Executive Director 225-765-8255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2007-10-22 |