NPI | 1114010667 |
---|---|
Entity Type | Organization |
Authorized Contact | RODOLFO M MANALAC Owner/President 225-778-1567 |
Organization Subpart ? | No |
Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: LA 2020) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2020-08-22 |