| 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 |