NPI | 1487090254 |
---|---|
Doing Business As | FERNCREST MANOR LIVING CENTER |
Entity Type | Organization |
Authorized Contact | DANIEL D. BROWN Managing Member 225-927-4290 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2013-05-20 |
Last Update Date | 2013-05-20 |