| NPI | 1104045269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE O TUNSON Owner 985-369-7002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: LA PCA 6989) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |