| NPI | 1225247174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY J. SCOTT CEO 318-651-9363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: LA 1474354) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |