| NPI | 1316262264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES GOODWIN GLADNEY Managing Partner 318-281-0078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA 196) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2010-04-05 |