| NPI | 1093015315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONJIA BROWN MCVAY Administator 985-345-5996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2010-11-02 |