| NPI | 1417079526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN R. MCCOY Executive Director 318-635-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: LA 1114600) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2008-06-23 |