| NPI | 1336373737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA PARKER Administrator 985-768-7562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: LA 15218) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2009-05-13 |