| NPI | 1306101035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID T. HENRY Delegated Official 318-629-1588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: LA l010682) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-09 |