| NPI | 1063748838 |
|---|---|
| Doing Business As | KINGSLEY PLACE AT SHREVEPORT |
| Entity Type | Organization |
| Authorized Contact | NOELLE BICKEL Licensing Specialist 206-298-2909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: LA 10659) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: LA 10659) |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2009-10-28 |