NPI | 1518159250 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA LYNN LOUGHMAN RN, 318-240-7424 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: LA 11475) |
Enumeration Date | 2007-08-16 |
Last Update Date | 2007-08-16 |