NPI | 1104974781 |
---|---|
Doing Business As | SOUTH HIGHLAND COMMUNITY HOME |
Entity Type | Organization |
Authorized Contact | JOHN R TAYLOR President 318-949-5500 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: LA 710) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2008-06-12 |