| NPI | 1073732749 |
|---|---|
| Doing Business As | PACK HOME |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA LANDRY HORNE Director Of Finance 318-797-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2022-05-27 |