| NPI | 1073648853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN C. GAMBLE President 318-798-2648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA 993) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2011-06-22 |