NPI | 1568514974 |
---|---|
Entity Type | Organization |
Authorized Contact | BOB G. DEAN Managing Member 225-343-9152 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA 841) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2009-06-29 |