| NPI | 1376260448 |
|---|---|
| Doing Business As | OUR LADY OF PROMPT SUCCOR NURSING FACILITY |
| Entity Type | Organization |
| Authorized Contact | JACK SANDERS Managing Member 318-590-0007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2022-10-20 |