| NPI | 1174802888 |
|---|---|
| Doing Business As | THE GREEN HOUSE COTTAGES OF WENTWORTH PLACE |
| Entity Type | Organization |
| Authorized Contact | ROSS PONTHIE Member 318-443-8167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2019-09-27 |