NPI | 1356499925 |
---|---|
Doing Business As | SCOVELL COMMUNITY HOME |
Entity Type | Organization |
Authorized Contact | JOHN R TAYLOR President 318-949-5500 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded (Licence: LA 677) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2008-06-12 |