| NPI | 1134126659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA ETHERIDGE Office Manager 318-649-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: LA 113) |
| Additional Taxonomies | 273Y00000X Rehabilitation Unit (Licence: LA 113) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2020-03-06 |