NPI | 1083830533 |
---|---|
Doing Business As | BOSWORTH LIVING CENTER |
Entity Type | Organization |
Authorized Contact | JAMES E. RICHARDSON Atto RN Ey 318-445-6470 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
Enumeration Date | 2007-04-17 |
Last Update Date | 2020-08-22 |