NPI | 1326113689 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSS PONTHIE Managing Member 318-443-8167 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
Enumeration Date | 2006-11-22 |
Last Update Date | 2020-08-22 |