| NPI | 1528451788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA T. BRANDON Director 225-924-2744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: LA 2203782084) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-16 |