| NPI | 1306994785 |
|---|---|
| Doing Business As | RAVENDALE COMMUNITY HOME |
| Entity Type | Organization |
| Authorized Contact | JOHN R TAYLOR President 318-949-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: LA 496) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-06-13 |