| NPI | 1215921200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOHN NUNNALLY Administrator 318-992-6627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA 785) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2008-05-13 |