NPI | 1396118006 |
---|---|
Entity Type | Organization |
Authorized Contact | DONNA M WIDNER Controller 225-719-2517 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA 915) |
Enumeration Date | 2015-11-03 |
Last Update Date | 2015-11-03 |