NPI | 1548308984 |
---|---|
Doing Business As | WENHAM COMMUNITY HOME |
Entity Type | Organization |
Authorized Contact | JAMES E. RICHARDSON C.E.O. 318-445-6470 |
Organization Subpart ? | No |
Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: LA 964) |
Enumeration Date | 2007-02-01 |
Last Update Date | 2011-04-05 |