NPI | 1295327997 |
---|---|
Entity Type | Organization |
Authorized Contact | MAUREEN GALLAGHER Manager 318-512-9218 |
Organization Subpart ? | No |
Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
Enumeration Date | 2021-02-04 |
Last Update Date | 2021-02-04 |