| NPI | 1467671826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY DERUITER Speech Language Pathologist 318-349-1576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282E00000X Long Term Care Hospital (Licence: MA 12106121) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |