NPI | 1235257676 |
---|---|
Doing Business As | WEST LINCOLN ROAD COMMUNITY HOME |
Entity Type | Organization |
Authorized Contact | CAROLYN DERANGER Office Manager 337-363-5553 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: LA 582) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2020-08-22 |