| NPI | 1164477162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN MARIE LIVINGSTON Owner 337-394-3771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: LA 36185615K) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-08-22 |