NPI | 1568725620 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA P. PATTON Advance Practice 318-629-1588 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: LA AP01383) |
Enumeration Date | 2012-06-22 |
Last Update Date | 2012-06-22 |