| NPI | 1215910211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK SANDERS Managing Member 318-590-0007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA 360) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2019-01-07 |