NPI | 1194939777 |
---|---|
Other Name | MASON COMMUNTIY HOME |
Entity Type | Organization |
Authorized Contact | COLLIS TEMPLE, JR. Executive Director 225-383-9139 |
Organization Subpart ? | No |
Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: LA 805) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2020-08-22 |