| NPI | 1073151346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA G LAFAYETTE Owner 225-205-6575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-17 |