| NPI | 1114123510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLETTE ANDREA BENNETT Owner 504-305-6130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: LA 12313) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2007-07-16 |