| NPI | 1073801049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA DEVILLIER Owner 985-774-1844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: LA 10171342#83C42) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-10-26 |