| NPI | 1497572010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J REEVES Physical Therapist Assistant 318-990-9481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-09-24 |