| 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 |