NPI | 1407042567 |
---|---|
Doing Business As | POLAND COMMUNITY HOME |
Entity Type | Organization |
Authorized Contact | JAMES B. COLWELL Program Manager 318-442-2284 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: LA 485) |
Enumeration Date | 2007-09-21 |
Last Update Date | 2008-04-09 |