| NPI | 1174679625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAVIN CHICO Managing Partner 318-798-2399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282E00000X Long Term Care Hospital (Licence: LA 11956R) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2015-09-08 |