| NPI | 1467598268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA L WILLIAMS Manager 225-275-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: LA SIL7099) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: LA PCA6968) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |