| NPI | 1508308263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA JO DANTONE CEO 985-651-2342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA 1654) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: LA 1654) |
| Enumeration Date | 2016-11-12 |
| Last Update Date | 2016-11-12 |