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 |