| NPI | 1467460485 |
|---|---|
| Doing Business As | BOSWORTH LIVING CENTER |
| Entity Type | Organization |
| Authorized Contact | JERRINE B HARRELL President 318-445-6470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: TX 116305) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |